Hernias Flashcards
List the two different types of abdominal wall hernias
- ventral hernias: epigastri, umbilical, incisional
- groin hernias: inguinal, femoral
Define a hernia
any exit of an organ through the wall of its cavity (sac of peritoneum containing fat/bowel)
- abdominal or groin
- inguinal is most common
Describe how to reduce a hernia
- tendelenberg position
- ice pack over bulge
- +/- narcotics/BZD
- slow steady pressure from periphery
- allow their breathing motion to work with you
- DO NOT FORCE IT
What are the risk factors for developing a hernia
Describe the presentation of a hernia
Describe incarceration of a hernia
trapping of abd contents within hernia, swollen, can’t be reduced or pushed back = surgical
Describe a strangulated hernia
decrease in blood supply of intestine, occurs after incarceration, emergent surgery (risk of gangrene, tissue death, mortality)
Describe the etiology & RF for an inguinal hernia
Describe the presentation & PE of an inguinal hernia
Describe the treatment for an inguinal hernia
Describe the etiology & RF for a femoral hernia
Describe the presentation of a femoral hernia
Describe the treatment for a femoral hernia
Describe an umbilical hernia
Describe the treatment for an umbilical hernia
Which type of hernia is often related to a prior incision
ventral hernia (open or lap repair)
Which type of hernia is commonly due to pregnancy or weight loss and how does it present
What kind of hernia is related to GERD and chronic PPI use
hiatal hernia (leave alone or nissen fundoplication)
Which two surgical procedures commonly cause an internal hernia
surgical emergency! (sxs similar to bowel obstruction or volvulus)
