Concluded Case

PROMINENT FEATURES OF UMBILICAL HERNIA

A 58 years old male patient, complaining with pain č swelling at umbilical region. Chief Complaints Pain abdo. History NAD Vitals BP 110/70 mmHg Pulse 80bpm R/R 20bpm Temp. 98°F Physical Examination Chest B/L clear Abdo. distended CVS s1 & s2 P Investigations Reports are within normal limits Management Plan for herniorrhaphy

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Umbilical hernia herniorrhaphy Mes repair

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? UMBILICAL HERNIA .. WITH.. ASSOCIATED COMPLICATIONS.. PAIN ABDOMEN.. MANAGEMENT.. USG..ABDOMEN.. PLANING FOR.. SURGERY.. MEANWHILE TREAT SYMPTOMATICALLY..WITH.. PROBIOTICS.. ANTISPASMOTIC..

Tnx &wc Dr Maqusud Ansari
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Protruded umbilicus Umbilical hernia if cough reflex is positive Lipoma if no cough reflex is seen

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Umbilical hernia Adv USG abdomen to look for ascites Plan for elective surgery preferably meshplasty

1. As decribed in charak Sharir Sthana 8/45: improper section of Umblical Cord may lead to Sepsis and 'Umblical Hernia' thus Vaat-Pitta shamak chikitsa [especially ghrita] along with Abhyang/Utsadan/ Parisehchan should be instituted. 2. check with thyroid values and any chromosomal abnormality

Its paraumbilical hernia. Pt to be planned for herniorrhaphy

Umbilical hernai DD paraumbilical hernai Reducible Hernioraphy

Herniorapphy with Mess repair

Umbilical hernia herniorrhaphy Mes repair

req. other test and investigation adv. shalya karm

Umbilical hernia Extraperitoneal mesh repair

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