Hernia Outbreak

Its been few days since i started to study and so far i am doing great. I just got back from the ward earlier around 10pm and it very shocking since there are at least 5 patients with hernia in general surgical ward. Well hernia or in malay they call it "angin pasang" is rather a common condition in surgery ward but considering UMMC is a secondary hospital. We rarely see cases like hernia and even appendicitis.

Hernia is defined as " Protrusion of normal internal abdominal viscera through weakness or defect in the fascias and muscular layers which normally confine them".I managed to get the opportunity to brush up my examination technique that i left out for almost 1 year and a half already and it feels good.I am so relieved.

What crucial about hernia is that, we need to know the causes, and also the different types. Mainly the hernia occurs in inguinal region and lecturers favourite question is that how to differentiate clinically between direct and indirect inguinal hernia. despite of similar management they still wanna screw us up.


this is the example of inguinal hernia where u cant really differentiate it when it appears like this


for this one, it extends to scrotum and the patient is a child.So bare in mind this is usually indirect inguinal hernia and has a high risk of strangulation.
be aware if the patient appears toxic.

As for the correction of the hernias, there are 2 methods basically herniotomy or hernioplasty (shouldice and newer method lichtenstein)

Ok enough about swelling in the groin area. despite of being busy, i still cant escape shopping. Just now i ordered a shoe from Germany through bulk ordering from someone with insiders and managed to get a good limited edition item.The shoe is called Onitsuka Tiger R55 Urban Clubman and the shipment will arrive probably middle of the month after my surgical end of posting.


Be my motivation u money sucker! haha!