Hernias Flashcards
Femoral hernia is where
below and lateral to pubic tubercle
Inguinal hernia is where
Above and medial to pubic tubercle
Direct inguinal passes through which structures
Doesn’t enter deep inguinal ring only goes through superficial ring
Passes through transversalis fascia (posterior of inguinal canal)
Indirect
Disappears on reduction
Only passes through deep and superficial inguinal rings; is within the inguinal canal
Posterior wall of femoral canal
Pectinate ligament (P for P)
Medial wall of femoral canal
Lacunar ligament
Lateral wall of femoral canal
femoral vein
Anterior wall of femoral canal
Inguinal ligament
Effect of femoral hernia on the groin
Flattens crease (f for f)
Effect of inguinal hernia on the groin
Increases crease (i for i)
Obturator hernia
Compression of the oburator nerve
Identify by medial thigh pain
causes small bowel obstruction in elderly female
Which structures do indirect inguinal hernias pass through
Both the deep and superficial inguinal ring
Hernia common in older males
Direct inguinal
Hernia common in babies
Indirect inguinal
How do you repair a femoral hernia
suture inguinal ligament to pectinate ligament (anterior of canal to posterior)
Repair of hernia
Laparoscopic surgery
Emergency repair of hernia
Open surgery (no general anaesthetic)
Which nerve controls hernia pain
ilioinguinal nerve
Paediatric hernia can be identified by
‘Silk sign’ can feel hernia sac layers sliding like silk
Relation of direct inguinal hernia to epigastric vessels
Medial to the inferior epigastric artery
Relation of indirect inguinal hernia to epigastric vessels
lateral to the inferior epigastric artery
Posterior wall of inguinal canal
transversalis fascia
Anterior wall of inguinal canal
external oblique aponeurosis
Floor of inguinal canal
Inguinal ligament and the lacunar ligament
Roof of inguinal canal
transversalis fascia
Why can an epigastric hernia occur
If there is a congenital weakness of the linea alba
Which type of hernia is most likely to enter the scrotum
Indirect hernia
