9. Abdominal hernias

Question 1

Strangulated hernia ?

Answer 1

• Is an emergency that occurs when the blood supply of hernia’s contents is seriously impaired, which leads to ischaemia and necrosis.

Question 2

Richter’s hernia ?

Answer 2

When only a portion of the circumference of the intestine is strangulated (no obstruction symptoms).

Question 3

Mayld’s hernia (hernia-in-W) ?

Answer 3

when the strangulated loop lies within the abdomen.

Question 4

Indirect inguinal hernia ?

Answer 4

Enters the inguinal canal through the deep inguinal ring, travels down the canal on the outer side of spermatic cord, leaves via superficial inguinal ring

Question 5

Direct inguinal hernia ?

Answer 5

The sac passes through the defect of the transversalis fascia in the posterior wall of inguinal canal, medially to inferior epigastric vessels, the sac lies behind the spermatic cord.

Question 6

Inguinal hernias:

Answer 6

• 60% of abdominal hernias.

- Inguinal hernias in babies are the result of a persistent processus vaginalis, in adults they are acquired.

Question 7

What is the most common hernia of all, especially in the young?

Answer 7

Indirect inguinal hernia