Hernia Flashcards
Are commoner in women T/F
False
Commonest cause of Intestinal Obstruction
Hernia
Definition
Abnormal protrusion of part or whole of viscus from defect in wall which normally contains it
Classification
Congenital or Acquired
Internal or external
Eg of congenital hernia
Diaphragmatic hernia
Eg of acquired
Incisional
What are external hernias and examples
Hernias whose sac protrude from abdomen
Eg umbilical, inguinal, femoral, paraumblical, spigelian
Internal hernias? Examples
Hernias whose sac do no protrude out of trunk even when we’ll formed
Diaphragmatic
Para œsophageal
Para duodénal
Bubonocele
Furnicular
Complete scrotal
Enters internal ring but stays within canal
Exits external ring but ends just above testes
What are the risk factors for a hernias
Smoking
Obesity
Pregnancy
Previous Abdominal surgeries
Peritoneal dialysis
Collagen or vascular disorder
Complications of treated hernias
Mesh rejection
Signs: swelling, discharge, inguinodynia
Borders of the Hesselbachs Triangle
Medially- lateral border of Festus sheath
Laterally - Inferior epigastric vessels
Inferiorly- Inguinal ligament
Treatment of inguinal hernia.
Adult
Children
Hernioraphy
Herniotomy
Eg of Tissue Repair
Bassani