Hernias Flashcards
How do we fix a ‘sliding’ hiatal hernia/smptomatic hiatal hernia?
Laproscopic Nissen Fundoplication with hiatoplasty
Most common hernia PERIOD
Indirect Inguinal Hernia
Palpable groin protrusion ABOVE the inguinal ligament
indirect inguinal hernia
Protrude laterally to the inferiror epigastric vessels
indirect inguinal hernias
Protrude medially to the inferiror epigrastric vessels
Direct hernias
Examination shows a tender bulge on the left side above the inguinal ligament that extends into the left scrotum; lying down does not reduce the swelling. Coughing does not make the swelling bulge further. The skin overlying the bulge is warm and erythematous. The abdomen is distended and bowel sounds are hyperactive. What kind of hernia and how must it be repaired?
Complicated (likely by strangulation), inginal hernia. Open surgical repair via Lichtenstein repair and Shouldice repair.
Sir orik von lichtenstein couldnt joust because he had a complicated inguinal hernia
What type of hernia: close spontaneously by age 5. Because the patient is asymptomatic and the hernia is small, the most appropriate management at this time is reassurance and observation. The risk of complications (e.g., incarceration, strangulation) is low in comparison to other types of hernias.
Congenital umbilical hernia
What kind of hernia: include old age, female sex, obesity, and previous hernia repair. Patients present with a globular swelling inferior to the inguinal ligament and medial to the femoral vein that worsens with coughing or straining.
femoral hernia
Boundaries of the femoral canal
Anterior: inguinal ligament
Posterior: pubic ramus and pectineal ligament
Medial: lacunar ligament
Lateral: femoral vein
ypical femoral hernia: protrusion of intraperitoneal contents along with the transverse abdominal fascia through the femoral ring into the femoral canal
