Hernias

Question 1

Where is a femoral hernia commonly found?

Answer 1

-Bowel herniates through femoral canal
-Inferior + Lateral to pubic tubercle

Question 2

How are direct and indirect inguinal hernias differentiated?

Answer 2

-Indirect = bowel herniates through inguinal canal
-Direct = bowel herniates through Hesselbach’s triangle in abdominal wall
INDIRECT will remain reduced if pressure is applied to deep inguinal ring (midway point between ASIS + pubic tubercle)

Question 3

What risks are associated with hernias?

Answer 3

-Incarceration (cannot be reduced)
-Strangulation (compromising of blood supply leading to necrosis)
-Obstruction (obstruction of flow of abdominal contents)
NB FEMORAL hernias most at risk of these complications due to femoral ring being narrow