4. Oblique (Indirect) inguinal hernia Flashcards
ETIOLOGY & TYPES of Oblique inguinal hernia
1 - Congenital hernia :
2- Infantile hernia (operative finding only)
3-Adult (acquired) oblique inguinal hernia
Congenital hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
- Pathogenesis
- Clinical picture
- Age of presentation
Pathogenesis of Congenital hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
persistent patency of the whole processus vaginalis.
Clinical picture of Congenital hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
It reaches down the scrotum from the start.
The testis is inseparate from the hernial sac and its contents.
Age of presentation of Congenital hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
Although congenital, it may appear in adult life
Infantile hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
Pathogenesis
Its problem
Pathogenesis of Infantile hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
Combined inguinal hernial sac + infantile hydrocele (2 sacs).
problem of Infantile hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
At operation, the tunica is liable to be opened in mistake for the true sac.
Adult (acquired) oblique inguinal hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
Pathogenesis
Types
Pathogenesis of Adult (acquired) oblique inguinal hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
- Raised intra abdominal pressure
* Weak abdominal wall.
Types of Adult (acquired) oblique inguinal hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
a) Bubonocele
b) Funicular
c) Complete (scrotal) hernia
Pathogenesis of Bubonocele Type of Adult (acquired) oblique inguinal hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
The hernial sac is limited to the inguinal canal and is seen as a bulge or swelling in the inguinal region and does not come out through the external ring.
Pathogenesis of Funicular Type of Adult (acquired) oblique inguinal hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
The hernia passes out through the external ring and starts to descend into the scrotum, reaching only its neck.
Pathogenesis of Complete (scrotal) hernia Type of Adult (acquired) oblique inguinal hernia in ETIOLOGY & TYPES of Oblique inguinal hernia
- The hernia descends to the bottom of the scrotum, as a continuation of funicular type.
- The testis is separate from the hernial sac and its contents
Difference between Adult Scrotal hernia and Congenital hernia by
History
Examination
History of Adult Scrotal hernia
The hernia descends to the bottom of the scrotum, as a continuation of funicular type.
History of Congenital hernia
It reaches down the scrotum from the start.
Examination of Adult Scrotal hernia
The testis is separate from the hernial sac and its contents
Examination of Congenital hernia
The testis is inseparate from the hernial sac and its contents.
PATHOLOGY of Oblique inguinal hernia
- The defect :
- The sac :
- The contents :
- The coverings :
Pathogenesis of The defect in PATHOLOGY of Oblique inguinal hernia
Stretched deep inguinal ring.