Hernias

Question 0

Inguinal hernia

Answer 0

1. Above and medial to pubic tubercle
2. Male to female ratio of inguinal hernia is 10 to 1
3. Direct hernia are extremely rare in females

Question 1

Parastomal hernia

Answer 1

Usually a symptomatic
10% of colostomies
Opening too big or not bringing it through rectus

Question 2

Local anaesthetic block for inguinal hernia repair

Answer 2

1. Iliohypogastric nerve and Ilioinguinal nerve - 2cm medial from the anterior superior iliac spine
2. Genitofemoral nerve (L1 and L2) 1 to 2 cm lateral to the pubic tubercle

Question 3

Femoral hernia

Answer 3

1. 20% of hernias in women
2. 5% of hernias in men
3. Inferior and lateral to the pubic tubercle

Question 4

Indirect inguinal hernia

Answer 4

Persistent processes vaginalis

Question 5

Spigelian hernia

Answer 5

Origin at the the linear semilunaris

Question 6

Medial inguinal fossa

Answer 6

depression located within the inguinal triangle on the peritoneal surface of the anterior abdominal wall between the ridges formed by the lateral umbilical fold and the medial umbilical ligament, corresponding to the superficial inguinal ring.

Question 7

Inguinal triangle

Answer 7

1. Medial border: Lateral margin of the rectus sheath, also called linea semilunaris
2. Superolateral border: Inferior epigastric vessels
3. Inferior border: Inguinal ligament, sometimes referred to as Poupart’s ligament

Question 8

Direct inguinal hernia

Answer 8

1. protrudes through a weakened area in the transversalis fascia near the medial inguinal fossa within an anatomic region known as the inguinal or Hesselbach’s
2. capable of exiting via the superficial inguinal ring and are unable to extend into the scrotum.

Question 9

Pubic periostitis

Answer 9

Occurs when large bite of pubic attachment of the inguinal ligament is taken to anchor the mesh