Hernias

Question 1

Treatment for umbilical hernia

Answer 1

Usually none required as they typically resolve by 3 years

Question 2

Umbilical hernia associations

Answer 2

Afro-Caribbean infants

Down’s syndrome

Mucopolysaccharide storage diseases

Question 3

Why are inguinal hernias more common in males?

Answer 3

Testis migrates from its location on posterior abdominal wall down through inguinal canal

Question 4

Which group is most at risk of inguinal hernia strangulation?

Answer 4

Children presenting in first few moths of life at highest risk of strangulation - hernia should be repaired urgently

Question 5

What is a congenital diaphragmatic hernia?

Answer 5

Herniation of abdominal viscera into chest cavity due to incomplete formation of diaphragm

Question 6

Complications of congenital diaphragmatic hernia

Answer 6

Pulmonary hypoplasia and hypertension which causes respiratory distress

Question 7

Survival rate of congenital diaphragmatic hernia

Answer 7

~50%