(femoral & Inguinal) Hernias

Question 1

Non-reducible strangulation is a complication of femoral hernias caused by

Answer 1

• blood supply cut off

- infection

Question 2

Obstruction symptoms due to femoral hernia

Answer 2

• vomiting
• constipation
• abdo distension

Question 3

Incarceration of hernia

Answer 3

• irreducible

- trapped bowel

Question 4

The wider the neck of the hernia

Answer 4

The fewer the complications

Question 5

Boundaries of femoral canal (FLIP)

Answer 5

• femoral vein laterally
• lacunar ligament medically
• inguinal ligament anteriorly
• pectin eat ligament posteriorly

Question 6

Femoral triangle boundaries (SAIL)

Answer 6

• sartorious laterally
• adductor longus medically
• inguinal ligament superiorly

Question 7

Location of direct inguinal hernia

Answer 7

Medial to inferior epigastric artery

Question 8

Location of indirect inguinal hernia

Answer 8

Lateral to inferior epigastric artery

Question 9

Which rings do direct hernia pass thru

Answer 9

Superficial only

Question 10

Which rings do indirect hernias pass thru

Answer 10

Spermatic cord thru deep + superficial rings

Question 11

Boundaries of Hesselbach’s triangle (RIP)

Answer 11

• rectus abdominus med
• inferior epigastric vessels sup/lat
• poupart’s ligament inf

Question 12

Inguinal hernia more common in young males

Answer 12

Indirect

Question 13

Inguinal hernia more common in elderly male

Answer 13

Direct

Question 14

Mx symptomatic inguinal hernia

Answer 14

Open mesh repair

Question 15

Mx irreducible/strangulated/obstruction

Answer 15

Non-mesh repair