Hernias Flashcards

1
Q

What is a hernia?

A

Protrusion of an organ or tissue through an abnormal opening in the body wall.

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2
Q

What are the common types of hernias?

A

Inguinal, femoral, umbilical, incisional, and hiatal hernias.

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3
Q

What is an inguinal hernia?

A

Hernia that occurs in the groin region.

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4
Q

What are the types of inguinal hernias?

A

Direct and indirect inguinal hernias.

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5
Q

What is a direct inguinal hernia?

A

Hernia that protrudes through the abdominal wall directly into the inguinal canal.

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6
Q

What is an indirect inguinal hernia?

A

Hernia that protrudes through the inguinal ring, lateral to the inferior epigastric vessels.

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7
Q

What is a femoral hernia?

A

Hernia that protrudes through the femoral canal below the inguinal ligament.

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8
Q

What is an umbilical hernia?

A

Hernia that occurs at the umbilicus.

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9
Q

What is an incisional hernia?

A

Hernia that occurs at the site of a previous surgical incision.

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10
Q

What is a hiatal hernia?

A

Hernia that occurs at the esophageal hiatus of the diaphragm.

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11
Q

What are the types of hiatal hernias?

A

Sliding and paraesophageal hiatal hernias.

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12
Q

What is a sliding hiatal hernia?

A

Hernia where the gastroesophageal junction and part of the stomach slide into the chest.

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13
Q

What is a paraesophageal hiatal hernia?

A

Hernia where part of the stomach herniates through the diaphragm alongside the esophagus.

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14
Q

What are the risk factors for developing a hernia?

A

Increased abdominal pressure, age, obesity, pregnancy, chronic cough, and lifting heavy objects.

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15
Q

What are the symptoms of a hernia?

A

Pain, swelling, bulge, and discomfort, especially during physical activity.

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16
Q

What is a reducible hernia?

A

Hernia that can be pushed back into the abdominal cavity.

17
Q

What is an irreducible (incarcerated) hernia?

A

Hernia that cannot be reduced back into the abdominal cavity.

18
Q

What is a strangulated hernia?

A

Hernia where blood supply to the herniated tissue is compromised.

19
Q

What are the complications of a strangulated hernia?

A

Tissue necrosis, gangrene, and bowel obstruction.

20
Q

What is the diagnosis of a hernia based on?

A

Clinical examination and imaging studies like ultrasound or MRI.

21
Q

What is the treatment for a hernia?

A

Observation without intervention, lifestyle modifications, or surgical repair.

22
Q

What is watchful waiting in hernia management?

A

Monitoring the hernia without immediate surgical intervention.

23
Q

What is herniorrhaphy?

A

Surgical repair by closing the defect with sutures.

24
Q

What is hernioplasty?

A

Reinforcing the hernia defect with synthetic or biological mesh.

25
Q

What is laparoscopic hernia repair?

A

Minimally invasive surgery using a laparoscope to repair the hernia.

26
Q

What are the potential complications of hernia repair surgery?

A

Infection, bleeding, recurrence, and nerve injury.

27
Q

What is the prognosis for hernia repair surgery?

A

Generally good, with low rates of recurrence and complications.

28
Q

What are the preventive measures for hernias?

A

Maintaining a healthy weight, avoiding heavy lifting, and quitting smoking.

29
Q

What lifestyle changes can help prevent hernias?

A

Regular exercise, proper lifting techniques, and avoiding constipation.

30
Q

What is the role of abdominal support devices in hernia prevention and management?

A

Devices like trusses or binders that provide external support to the abdominal wall.