Hernias Flashcards
What are the 3 classifications of Hernia
Reducible - Hernia can be pushed back into the abdomen
Incarcerated or Irreducible: Cannot be pushed back
Strangulated: Ischaemia to the tissue
Midline Lump
Epigastric Hernia
Obesity
Multiple Pregnancies
Ascites
Paraumbilical Hernia
Management of a paraumbilical Hernia
Surgical
Is the risk of strangulation high with a paraumbilical hernia
Yes
What type of hernia arises from persistent elevation of intraabdominal pressure
Adult Umbilical Hernia
What are the two types of inguinal hernia?
What gender does inguinal hernias occur in most?
What side?
Are they mostly Direct or indirect
Direct and Indirect
Males
Right
2/3rds are indirect.
How do inguinal hernias present?
Groin swelling which usually disappears with lying down
Where are Inguinal Hernias normally found?
Above and Medial to the pubic tubercle
How can an inguinal hernia be diagnosed?
How are they managed?
Palpable cough impulse on examination
Can be non surgical or be laparoscopic.
What is the main risk factor for a femoral hernia
What is the management for a femoral hernia
Age (Increases with age)
and Weight
Surgical
Where are femoral hernias found normally?
Below and lateral to the pubic tubercle.
How are incisional hernias caused
Iatrogenic, the most common side effect of a laparotomy.
