hernias

Question 1

where is an indirect inguinal hernia

Answer 1

above and medial to pubic tubercule

passes through deep and superficial inguinal ring

Question 2

where is a direct inguinal hernia

Answer 2

above and medial to pubic tubercle

passes through superficial inguinal ring through the transversalis fascia

Question 3

where is a femoral hernia

Answer 3

below and lateral to the pubic tubercle

Question 4

which type of inguinal hernia is more common?

Answer 4

indirect inguinal hernia

Question 5

which type of inguinal hernia reappears on coughing?

Answer 5

direct inguinal hernia

Question 6

what is the management of inguinal hernias?

Answer 6

usually surgical repair (as elective)

Question 7

what is the management of a femoral hernia?

Answer 7

50% are strangulated on presentation so will need urgent repair

Question 8

what are risk factors for hiatus hernia

Answer 8

obesity, GORD

Question 9

what is the management of hiatus hernia?

Answer 9

weight loss, PPI, surgery if really symptomatic

Question 10

what is the management of an inguinal hernia in a paediatric patient?

Answer 10

if less than 1 then emergency repair

if over 1 then elective repair

Question 11

what is the management of a umbilical hernia in a paediatric patient?

Answer 11

often conservative as most will close spontaneously by 3 years old