Inguinal Hernia and Nursing Role

Inguinal Hernia

Inguinal Hernia Definition

It is a protrusion of part of abdominal content through the inguinal canal in the groin. Occur in male more than female, and could be congenital or acquired.

Clinical Manifestation:-

1-When the sac is empty there is no symptom.

2-When abdominal content are in the sac lead to incomplete bowel obstruction.

3-Discomfort and pain.

4-Constipation and anorexia.

5-If the loop of intestine is incarcerated in the sac, all symptoms of intestinal obstruction will appear.

Diagnosis:-

1-History.

2-Physical examination(finding sac when the infant cries or strains).

Treatment:-

1-Surgical.

2-In carceration:the management will be:

a-Ice bag applied over the area to prevent edema.

b-Elevate the foot to prevent more abdominal content from going through the

sac.

c-Manual reduction under sedation.

Nursing Role:

A–Preoperative Care:

1-Keep the infant calm ,prevent straining and cry.

2-Prevent constipation.

3-Nothing by mouth after midnight.

B–Postoperative Care:

1-Prevent contamination of the wound by keeping the area clean and dry.

2-Diaper left open.

3-Check vital sign.

4-First voiding is important.

5-Feeding after bowel resection was done.

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Posted in Nursing Care Plans, Nursing Intervention, Pediatrics

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