Hernias

Question 1

Femoral hernia is where

Answer 1

below and lateral to pubic tubercle

Question 2

Inguinal hernia is where

Answer 2

Above and medial to pubic tubercle

Question 3

Direct inguinal passes through which structures

Answer 3

Doesn’t enter deep inguinal ring only goes through superficial ring

Passes through transversalis fascia (posterior of inguinal canal)

Question 4

Indirect

Answer 4

Disappears on reduction

Only passes through deep and superficial inguinal rings; is within the inguinal canal

Question 5

Posterior wall of femoral canal

Answer 5

Pectinate ligament (P for P)

Question 6

Medial wall of femoral canal

Answer 6

Lacunar ligament

Question 7

Lateral wall of femoral canal

Answer 7

femoral vein

Question 8

Anterior wall of femoral canal

Answer 8

Inguinal ligament

Question 9

Effect of femoral hernia on the groin

Answer 9

Flattens crease (f for f)

Question 10

Effect of inguinal hernia on the groin

Answer 10

Increases crease (i for i)

Question 11

Obturator hernia

Answer 11

Compression of the oburator nerve
Identify by medial thigh pain
causes small bowel obstruction in elderly female

Question 12

Which structures do indirect inguinal hernias pass through

Answer 12

Both the deep and superficial inguinal ring

Question 13

Hernia common in older males

Answer 13

Direct inguinal

Question 14

Hernia common in babies

Answer 14

Indirect inguinal

Question 15

How do you repair a femoral hernia

Answer 15

suture inguinal ligament to pectinate ligament (anterior of canal to posterior)

Question 16

Repair of hernia

Answer 16

Laparoscopic surgery

Question 17

Emergency repair of hernia

Answer 17

Open surgery (no general anaesthetic)

Question 18

Which nerve controls hernia pain

Answer 18

ilioinguinal nerve

Question 19

Paediatric hernia can be identified by

Answer 19

‘Silk sign’ can feel hernia sac layers sliding like silk

Question 20

Relation of direct inguinal hernia to epigastric vessels

Answer 20

Medial to the inferior epigastric artery

Question 21

Relation of indirect inguinal hernia to epigastric vessels

Answer 21

lateral to the inferior epigastric artery

Question 22

Posterior wall of inguinal canal

Answer 22

transversalis fascia

Question 23

Anterior wall of inguinal canal

Answer 23

external oblique aponeurosis

Question 24

Floor of inguinal canal

Answer 24

Inguinal ligament and the lacunar ligament

Question 25

Roof of inguinal canal

Answer 25

transversalis fascia

Question 26

Why can an epigastric hernia occur

Answer 26

If there is a congenital weakness of the linea alba

Question 27

Which type of hernia is most likely to enter the scrotum

Answer 27

Indirect hernia