Hernia

Question 1

What is a hernia?

Answer 1

Projection of viscera through a normal or abnormal opening in the abdominal wall

Question 2

What is the most common inguinal hernia?

Answer 2

Indirect Inguinal hernias (2/3 of hernias)

Question 3

Direct hernias major facts

Answer 3

Usually in older men, protrudes through Hesselbachs triangle, goes directly through superficial ring next to spermatic cord, medial to epigastric vessels, weakness in abdominal wall

Question 4

Indirect hernia major facts

Answer 4

MORE COMMON than direct! Go through BOTH deep and superficial, comes out WITHIN spermatic cord and not beside it, happens more often in younger fetus or younger men

Question 5

What is unique to indirect hernia?

Answer 5

They go through both the deep and superficial ring of inguinal canal and end up within the spermatic cord

Question 6

How do you test for hernias in male physicals?

Answer 6

A fingertip is injected into superficial ring to feel for bulge, is there is no hernia this doesn’t hurt but it WILL hurt if there is a hernia, this test does NOT indicate if the hernia is direct or indirect

Question 7

What type of hernia forms in Hesselbach’s triangle?

Answer 7

Direct inguinal hernias

Question 8

What forms the Hesselbach’s triangle?

Answer 8

Inferior epigastric vessels, lateral border of rectus abdominus muscles, and iliopubic tract ligament