Hernia Flashcards
definition
abnormal perfusion of organ due to defect in its wall
abdominal wall hearnia are most common
can be external, interparietal, internal
or reducible (can poke in), non-reducible or strangulated (cut off blood supply)
types of abdominal wall hernia
richter’s hernia
littre’s hernia
pantaloon
sliding
amyand
maydl
locations
groin- femoral, direct/indirect inguinal, common for men in right side
umbilicus
epigastgric
diaphragm
pelvis
indirect hernia
spermatic chord
follows indirect chord
sliding hernia
can descend into scrotum
common in children and young adults
can be controlled
direct hernia
hesselbach’s triangle- inguinal ligament, rectus, inferior epigastric vessels
sliding hernia
can’t be controlled
common in old age
may be felt in abdominal wall above pubic tubercle
femoral hernia
greater in women
cloquet’s node
inferior to inguinal ligament
how to diagnose groin hernia
groin swelling
risk factors: smoking, problem with collagen synthesis, intraabdominal pressure
groin hernia treatment and complication
surgical repair-open laproscopic, robotic
reoccurence, neuralgia, wound infection, bleeding
umbilical hernia
greater in women
risk factors: obesity, pregnancy
may repair itself if small enough
repair primarily or mesh
common in infants
epigastric hernia
greater in men
between xiphoid and umbilicus
repair primarily
incisional hernia
risk factors: wound infection, smoking, obesity, malnutrition, hypoxia
treat with laproscopic/ open repair
spigelian hernia
rare
through subumbilical part of semi-lunar line
hard to diagnose- need CT or clinical intervention
repair primarily or with mesh
lumbar hernia
congenital, spontaneous, traumatic
grynflett’s triangle- 12th rib
petit’s triangle
pelvic hernia
obturator hernia
sciatic hernia
perineal hernia
