-
8
Probution of of vicious through the containing
viscous or
part wall it.
Alected
t
Hequin
Reducibility of equity of hymns Kif tiss
⑰-
~
↑your
impulse
cough
·
Best done by it himulf.
↑
Obuted Lindated
squint
proximal bowel.
the
If theyis obstruct in bowel starts to expand & itbecomes
-
inedurible.
-
Blood supply isnormal
No
lough impulse
-
Stegulated quint
Obstructed -
compromisblood
ed supply.
due fixamountof
to has it compresses the
space in
blood
-
sah changes supply.
are um.
-
All obstructed humic is treated as
strangulated unless provided
-
No taxis should be done in obstructed &
strangulated hernin
Omentocell
-
4/5 ocl
No Inspective
peyistaled =>
Per istuln's ->
Dough consistency
Palpation -- & -
↳
Easy see first part firstpart
↳
to
Difficult reduce to
Dull note On
propension - Pequnsion Typants note
->
Bowel sounds out
-
If Meekel Diverticulum
is content of hymn,then itisattrahania
Ifappendix
~
, sil merit
try
I i
2.
1.
Identi
Open
fy the
the
swe
suc
A-
3. We push
the contents down
4. Let the excess sal
- 5. Close the ses
I
igptfee
-
engenitalingendere
TOR:-In
pt
Hiorraphy
1, 2, 3, 4, r
-
suture two
edges of defecttogether - -
-
Mostcommon came
of failure tension ⑰
1. Bassini
e
Shouldin Done
of Infect strangulets
2. in can
-
3.
Mayol Kell L
mish can be infuted.
Herplasty I
1,2,3,4,5
Mest
note
-
Least yearence
⑰
Klat tensionfree
largey lightenstein Mech
Heuioplasty.
Met materials
-
e Biological
-
-
Prolene -
Tallular human dermis (Alloterm)
-vipro (Vieryl+ Prolene) Hallular parline dirmis
-
PTFE
(Poly tetra those ethlere)
-
cannot be used infect Can be und
-
in
-
·
But
it back, produce collagmous
which
can eat the mesh& make it weak-