Ortostatske bolesti u stomatologa - kila

master's thesis

• Author: Lucijana Gudelj
• Mentor: Mario Ledinsky (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2005, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Problem nastanka preponske kile temelji se na anatomskoj građi koštanog dijela zdjelice. Preponske kile nastaju češće kod ljudi visokog prednjeg zdjeličnog luka, a osobito ako su udružene sa etiološkim faktorima (fizički napor, dob, spol). Naime, kod ljudi visokog prednjeg zdjeličnog luka preponsko područje je izduženo u okomitom smjeru, mišićne i vezivne tvorbe su razvučene, oskudno razvijene i često nepotpuno pokrivaju područje preponskog kanala. Takav manjkavi preponski kanal je kraći i širi pa su
duboki i površinski prstenasti otvori približeni, široki i nedostatno omeđeni vezivnim tvorbama. Kod ljudi nisko položenog prednjeg zdjeličnog luka preponsko područje je izduženo, preponski kanal je dug i uzak, čvrstih stijenki, a njegovi prstenasti otvori su mali i dobro omeđeni potpornim tvorbama. Preponske kile češće nastaju u muškaraca piknika ili astenika starijih od 40 godina, kod kojih je u obitelji već zabilježena pojava kile i koji su svakodnevno izloženi fizičkim naporima. U terapiji se koriste klasične operativne metode, ali i novije manje traumatske metode. Kod klasičnih operacijskih postupaka recidivi su česti, a i sam oporavak bolesnika je dugotrajniji. Primjenom operacijskih zahvata bez naprezanja tkiva u novije se vrijeme smanjuje mogućnost recidiva. Laparoskopijski zahvati doveli su do skraćenja boravka u zdravstvenoj ustanovi, smanjenja boli i omogućili brži oporavak i povratak normalnim životnim aktivnostima.

Abstract (english)

The problem of development of inguinal hernia is based on anatomy of pelvis. Inguinal hernias are appeared more often at the people with tall anterior inguinal arch, apart if they are united with other etiologically factors (physically work, age, sex). Based on this fact, in the people with tall anterior inguinaly arch the inguinal area is vertically elongated, musculares and connective tissue are stretched, sparingly developed and very often incompletely covered region of inguinal canal. That defective inguinal canal is shorter and wider so deep and internal inguinal ring are bring closer, wide and insufficient bordered connective tissues. People with low laid anterior inguinaly arch inguinal area is elongated, inguinal canal is long and narrow, with strong walls, and his inguinal rings are small and bordered with supporting tissues. Inguinal hernia are more often appeared in picnic or astenic man older than 40 years, in whose family are early noticed appearing of hernia and in the people who have increased physically efforts. The therapy is based on classically surgical treatments, but also on new less traumatically methods. Classically surgical treatments causes the recidive more often and the recover of the patient takes more time. The possibility of the recidive is less expected using tension free surgical treatment. Laparoscopic treatments made less time spent in hospital, reduced pain and made recover and reintegration to the regular life activities faster

• Keywords: preponska kila; laparoskopija
• Keywords (english): Inguinal Hernia; Laparoscopy
• Language: croatian
• URN:NBN: urn:nbn:hr:127:263141
• Study programme: Title: Integrated undergraduate and graduate university study of Dental Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Closed access
• Created on: 2024-09-06 10:57:29