Hernia Flashcards
Where the lumber hernia
It occurred in the inf . Lumber triangle of petit(common) Superior to the tringle ( less common ) Below: crest of illium Lat : external oblique muscle Med : latismuss dorsi
The cause of lumber hernia
It’s secondary to renal operation
What’s the type perineal hernia
+ postoperative through the prineal scar
+ medial sliding perineal hernia
+Ant.lat perineal hernia i women
+Post.lat through lavetor ani muscle
Obturator hernia location
Pass through the obturator canal
Obturator hernia commmon in men or female
6 times in female
Obturator herina ;
Why it liable to overlook ?
Does it strangulated ?
How the pt presented to you ?
It’s swelling is liable to be overlooked because it cover by pectinus
It liable to strangulated 50% of pt
Pt leg kept in semi flex- position and pain while moving
The location of gluteal hernia ?
Passes through the greater siatic foramena
Location of the siatic hernia ?
Passes through the lesser siatic foramena
Define the umblical calculus ?
It black in color of desqumating cells
@ dilate the orfice
@ extract the calculus
@beter to excise the umblicus
How pt presented with burst abdomen or abdomen dehiscence
Pink discharge serosangious
No pain
Felt something give away
Might be sign of intestinal obstruction
What’s the causes of insional hernia?
@obse pt @postopertive persistence cough @ postopertive abdomenal distension Fallowing opertion of peritonitis @ if the drain through the incision it should drain in seprate stab incision
Which type of hernia my have pinkish discharge?
1- burst dehiscence
2-incisional hernia
What the cause od the divertication of rectus muscle ?
Gape between the the rectus abdomis
In old multi-para pt the muscle will be seprated while straining
Is there is any risk of diverication of recti ?
No risk it might be found in babies but above thumblicus but it’s gone when the baby grow
What do we cal the secondary carcinoma of the umbli?
Sister joseph nodules
From stomach colon or overy
Might be from breast by lymphatic over the liver