GI Hernias

Question 1

Inguinal hernias are common in…

Answer 1

males

Question 2

Femoral hernias are common in…

Answer 2

females

Question 3

What is contained by the spermatic cord?

Answer 3

3 arteries (testicular, artery to vas deferens, cremasteric artery)

3 nerves (ilio-inguinal, geniral branch, gentio femoral sympathetic)

3 other things (pampiniform venous plexus, vas deferens, lymhatics)

Question 4

Location of the deep inguinal ring?

Answer 4

2 cm superior to the midpoint of the inguinal ligament

Question 5

Direct inguinal hernia?

Answer 5

Passes through the deep inguinal ring only

Question 6

Indirect inguinal hernia?

Answer 6

Passes through both the deep and superficial rings of the inguinal canal and can descend to the scrotum.

Question 7

What are the complications of hernia repair operations?

Answer 7

recurrence (<10%)
urinary retention
bleeding/haematoma
chronic pain
numbness
testicular atrophy / ischaemic orchitis
wound infection

Question 8

What do femoral hernias protrude through?

Answer 8

the femoral cancal

Question 9

Why are femoral hernias higher priority than inguinal hernias?

Answer 9

Femoral hernias have high risk of incarceration (cutting off blood supply)

Question 10

Inscisional hernia?

Answer 10

Hernia at the site of a previous andominal inscision

Question 11

What is a Paediatric inguinal hernia?

Answer 11

Indirect hernia in make infants, more common in pre-term babies
-present on crying