Nammude Arogyam May 2018 | Page 69

t]mhmXncn¡p¶p. 2. Obstructed Hernia : IpS XSÊs¸«n«v iànbmb thZ\, OÀZnÂ, aew t]mImªn«v hbdp s]cp¡w apXembh DïmIp¶p. 3. Strangulated Hernia : IpSensâ càtbm«w \ne¨v ]gp¸nd§p¶p. ASnb´ncambn ikv{X{Inb sN¿m¯ ]£w AXv acW¯n te¡v \bn¡p¶p. slÀWnb DmIphm\pÅ ImcW§Ä 1. ]pIhen : ]pIhen amwk t]inIfpsS _ew Ipdbv¡p¶p. 2. AanX h®w : amwk t]inIÄ¡pÅn sImgp¸v IqSp¶Xv {]tXyIn¨v kv{XoIfn slÀWnb¡pÅ km²y X hÀ²n¸n¡p¶p. 3. ikv{X{InbIÄ : ikv{X{Inb¡pïmIp ¶ apdnhn _e¡pdhv hcp¶Xv aqew AhnSw hn«v t]mbn«v slÀWnb bnte¡v \bn¡p¶p. 4. hbdp XÅp¶Xv : KÀ`[mcWw sImtïm hbdn\I¯v shÅw sI«p¶Xv aqetam slÀ Wnb Dïmhm³ CSbm Ip¶p. 5. iàntbdnb Npa, aew apdp¡w, aq{X XSÊw, AanX hymbmaw, apXembhbpw t]in ho¡w Dïm¡p¶p. 6. hbÀ`n¯nbnse P•\m Dff Zzmc§Ä (Congenital) slÀWnb Dïm¡p¶p. CXv km[mcWbmbn Ip«nIfn ImWs¸Sp¶p. Open hernia repair hnhn[ Xc§Ä (3) 1. Im aS¡nse slÀWnb (Inguinal Hernia) 2. hbdnsâ ap³hi¯p ïmhp¶ Ventral Hernia (s]m¡nfn ImWp¶ Umblical Hernia bpw Cu hn`mK¯n s]Sp¶p.) 3. hbdnsâ hi¯v ImWp¶ Lumbar Hernia 4. Dutcm-Zc `n¯nbn DïmIp¶ Hiatal Hernia, Diaphragmatic Hernia 5. hbdn\I¯v IpSen\nS bnepïmIp¶ Internal Hernia ]cntim[\IÄ 1) hbdnsâ kvIm\n§vv `n¯nbnse ]nfÀ¸pw AXneqsS IpSend§p ¶Xpw kvIm\n§neqsS ImWphm³ km[n¡p ¶p. AXv IqSmsX hbdn\I¯v aäp Akp J§tfbpw kvIm\n§v hgn Adnbphm³ km[n¡p¶p. 2) {]o Hm]v sSÌv : {]o A\kvtXjy ]cn tim[\, ikv{X{Inb ¡p ap¼v AXn\p thïXmb icoc£aX hnebncp¯p¶p. NnInÕm coXnIÄ 1. ]mc¼cy ikv{X{Inb slÀWnb¡p apIfn apdnhpïm¡pI, AXp hgn amwk t]inIfnse Zzmcw AS¡p¶p. AXn\p apIfn he (t{]meo³ sajv) Øm]n¡p¶p. 2. Xmt¡m Zzmc ikv{X{Inb Xosc sNdnb apdnhn eqsS slÀWnbbv¡v AI¯pÅ IpS XncnsI h¨n«v hbdn\ I¯v henb he sh¨v Zzmcw ASbv¡p¶p. Steps of Laparoscopic Hernia repair External View \½p-sS B-tcm-Kyw | sabv 2018 69