Emergency Presentation of a Hernia

Question 1

Define hernia strangulation

Answer 1

compression of the hernia has compromised the blood supply, leading to the bowel becoming ischaemic

Question 2

Strangulated of hernia Sx

Answer 2

• Irreducible / tender lump
• Out of proportional pain

Question 3

Define obstruction in hernia

Answer 3

Obstruction is where a hernia causes a blockage in the passage of faeces through the bowel.

Question 4

Obstruction Sx

Answer 4

• Generalised abdo pain
• Absolutely constipation
• NO flatus

Question 5

Define incarcination of hernia

Answer 5

the hernia cannot be reduced back into the proper position (irreducible)

Question 6

In terms of the neck of hernia, which types of neck has a higher risk

Answer 6

Narrow neck hernia