Abdominal Wall Flashcards
1st step?
try to reduce hernia
irreducible hernia
litchenstein repair
true indications for laparoscopic hernia repair:
bilateral
recurrent
mid point of inguinal ligament
asis –> PT
where deep ring is
mid inguinal point
asis –> PS
femoral pulse
Which hernia will reappear on cough impulse?
Direct inguinal
Which hernia type is more likely to strangulate?
Femoral in females,
indirect in males
lateral to inf epigastric vessels
indirect
medial to inf epigastric vessels
direct
True umbilical hernia
consider repair in child >2
90% retract by 2
paraumbilical hernia
early mayo’s operation
likely to obstruct as small neck.
epigastric hernia
repaired if painful
divarification of rectus abdominus
eg. fat men, parous women/chronic raised IAP
NO INDICATION FOR SURGERY