Hernia Flashcards
what is the most common adult hernia
inguinal
what are the two types of hernia found in the groin
inguinal (95%)
femoral
what are the2 types of inguinal hernia
direct
indirect (65%)
where do inguinal hernias originate
above and medial to the pubic tubercle
ho w can you differentiate between direct and indirect inguinal hernias
cover deep inguinal ring and ask the patient to cough. If it pops back out its direct
where do femoral hernias originate
below and lateral to the pubic tubercle
who is most at risk of inguinal hernias
men
who is most at risk of femoral hernias
older male with many kids
what is the inguinal canal
oblique inter-muscle slit 4cm long, allows passage of spermatic cord
what are the boundaries of the inguinal canal
floor = inguinal ligament
anterior wall = internal oblique
posterior wall = transversalis fascia
roof = internal oblique
what is located in the femoral canal
(form L to R)
femoral nerve
femoral artery
femoral vein
where are para-umbilica hernias located
around the umbilicus
who is most at risk of umbilica hernias
children
where are epigastric hernias located
the line alba between the xiphisternum and umbilicus
where are incisional hernia located
at the site of weakness (where the operation was carried out)
what type of hernia is associated with small bowel obstruction in elderly females
obturator hernia
what type of hernia is associated with surgery
incisional
what is the treatment for inguinal hernia in a young infant
herniotomy - ligation of sac
what is the treatment of umbilical hernias in children
nothing, 94% resolve by 4yrs old
what 3 arteries are found in the spermatic cord
testicular
artery to vas
artery to muscle
what 3 nerves are found in the spermatic cord
ilioinguinal
genitial branch
gentio femoral
what 3 things (not nerves or arteries) are located in the spermatic cord
pampinform venous plexus
vas defrens
lymphatics
what is a hernia
a profusion of a viscus or part of a visa through the wall which is designed to contain it
