Brokk
Sist oppdatert: Sist revidert:
Sist revidert av:Terje Johannessen
Definisjon:
Et brokk er en utposning fra magehulen, der indre strukturer kan passere gjennom en svakhet i kroppsveggen. Lyskebrokk, femoralbrokk og navlebrokk er de hyppigste typene
Forekomst:
Kan opptre i alle aldre, livstidsrisiko for menn er 27%, for kvinner 3%. Operasjon for lyskebrokk er det hyppigste generellkirurgiske inngrepet utført i Norge
Symptomer:
Svie og ubehag kan av og til komme en tid før brokket blir synlig, tyngdefornemmelse er også vanlig. Inneklemt brokk gir akutte, sterke smerter
Funn:
Undersøkelse kan avdekke kul som kommer til syne når pasienten står, hoster eller på annen måte presser ut magen
Diagnostikk:
Ingen relevante bildeundersøkelser
Behandling:
Ved lyskebrokk foreligger operasjonsindikasjon hos små barn og unge voksne, hos voksne kun ved sjenerende plager. Laparoskopisk nettplastikk foretrekkes. Alle femoralbrokk må vurderes for operasjon
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- Terje Johannessen, professor i allmennmedisin, Trondheim