Hernias Flashcards
Classification of hernias?
Reducible: can be moved back into place
Irreducible: cannot be moved back into place
Incarcerated: Stuck down by adhesions
Obstructed: bowel contents unable to pass through hernia
Presentation of hernias?
Abdominal mass
Strangulation (acute abdomen)
Assessment of inguinal hernia?
Feel for mass in inguinal region while patient standing
Get patient to cough (exaggerates it)
Management of hernia?
Conservative: weight loss, smoking cessation
Surgical: open or laproscopic repair- doesn’t prevent redevelopment
Key facts about inguinal?
Mass that is
- superior and medial to pubic tubercle
- Pointing towards the groin
- Increases groin creases
Direct hernia key facts?
Occurs due to protrusion through weak abdominal wall
Less common
Rarely strangulates
Reducible
Indirect hernia key facts?
Occurs due to failure in deep inguinal ring to close
Most common type
Reducible and restrainable
Scrotal mass that you are unable to get above
Paediatric hernia key facts?
Most common in boys (Usually RHS)
Indirect hernia
Femoral hernia keyfacts?
Mass that is -Below and lateral to pubic tubercle Pointing towards the leg Decreases groin crease Superior to inguinal ligament
Thin elderly women
requires urgent surgery (high risk of strangulation)
Epigastric hernia?
Due to defect in linea alba
Midline mass above umbilicus
Most common in teenage boys
Umbilical hernia?
New borns
Mass under umbilicus
Most resolve at age 3
Paraumbilical hernia?
Strongly associates with ascites and obesity
Mass above or below umbilicus
Spigelian hernia?
Hernia at lateral edge of rectus sheath
Appears inferior and lateral to umbilicus
Incisional hernia?
Site of previous surgery
