Emergency Management of Incarcerated Scrotal Hernia with Hypertension under General Anesthesia
Keywords:
General Anesthesia, Insular Scrotal Hernia, LaparotomyAbstract
An incarcerated scrotal hernia is a surgical emergency. An incarcerated scrotal hernia is a hernia whose contents enter the scrotum and are pinched in the hernia sac, if not treated immediately, it will cause tissue death which leads to infection and can threaten the patient's life. Emergency measures are a challenge for medical personnel, especially for anesthesiologists. This study aims to obtain an overview and understand emergency management in patients with incarcerated scrotal hernia and hypertension under general anesthesia. The research method used in this study is a case study. This study uses a descriptive design with a single case study. Participants in this study were one case of incarcerated scrotal hernia and hypertension with general anesthesia. Data collection in this study is through interviews, observations and physical examinations, documents. The data validity test is intended for valid data, carried out with additional sources of information using triangulation from three main data sources, namely patients, nurses and patients' families. Results: based on the results of the assessment and data analysis, it was found that anesthesia for emergency cases is more difficult for anesthesiologists who have to prepare and deal with existing problems because these patients are not prepared in advance and are not in an ideal state, such as there is a risk of aspiration and in addition patients with hypertension require close monitoring of vital signs and strict monitoring of fluids during surgery. Conclusions: Emergency management in patients with incarcerated scrotal hernia and hypertension under general anesthesia requires special management to reduce the patient's risk because the patient is not well prepared for surgery and has additional hypertension that requires special management to prevent complications.
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