Hernia Disease Flashcards
what is a hernia?
protrusion of cavity’s contents through weakness in wall of cavity
aetiology of hernias?
anatomical location, inherited collagen disorders, iatrogenic (incisions in wall)
aetiology specific to inguinal hernias?
heavy lifting, constipation, coughing, prostatism, pregnancy, obesity
what are the 7 types of hernias?
epigastric umbilical inguinal femoral incisional spigelian parastomal
epigastric hernia is due to a defect in the ____ ____
linea alba
where is the lump found in epigastric hernia?
midline
most common pt for epigastric hernia?
teenage males
tx for epigastric hernia?
sutures or mesh
why do umbilical hernias occur?
stretching of abdominal wall
how do umbilical hernias present?
presents with pain
true/false…
tx for umbilical hernias is medical
false…
surgical removal
what is the structural weakness for inguinal hernia called?
Hasselbach’s Triangle
what are the 2 types of inguinal hernias?
indirect & direct
true/false…
indirect hernias are more likely in older men
false…
direct in old men
indirect tend to be congenital
is the right or left side more common for inguinal hernias?
right
ix for inguinal hernia?
dynamic USS
how do you differentiate between femoral and inguinal hernia?
identify the pubic tubercle and
- if above & medial= inguinal
- if below and lateral = femoral
tx for inguinal and femoral hernia
surgery
females are more likely to get which type of hernia?
femoral
incisional hernia is due to?
wound complications and is iatrogenic, inherited collagen abnormalities, adv age or obesity
where do spigelian hernias present?
sub-umbilically
what are the 3 pathological types of a hernia?
- reducible
- incarcerated
- strangulated
what does reducible hernia mean?
can be pushed back into abdomen
what does incarcerated hernia mean?
can’t be pushed back in
