Hernias

Question 1

What is an epigastric hernia and who is most likely to get them?

Answer 1

This is a lump in the midline between the umbilicus and the xiphisternum
Most common in men aged 20-30

Question 2

Also known as lateral ventral hernia

Rare and seen in older patients

Answer 2

Spigelian hernia

Question 3

How might an obturator hernia present?

Answer 3

More common in females, typically presents with bowel obstruction

Question 4

Difference between umbilical and paraumbilical hernia?

Answer 4

Umbilical - symmetrical bulge

Paraumbilical - asymmetric bulge

Question 5

How should you manage paediatric inguinal hernia?

Answer 5

Should be repaired surgically soon after diagnosis as at risk of incarceration

Question 6

How should you manage infantile umbilical hernia?

Answer 6

The vast majority resolve without intervention before age 4/5
More common in premature and afro-caribbean babies