Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Eq SX Final > Hernias-McClain > Flashcards

Hernias-McClain Flashcards

1
Q

True/indirect hernia

A

Intact/complete peritoneal sac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

False/direct hernia

A

Ruptured/incomplete peritoneal sac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Types of abdominal hernias

A
  1. Direct (false)-non-intact vaginal tunic

2. Indirect (true)-intact vaginal tunic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Examples of acquired hernias

A
  1. Inguinal hernia (inc diameter over time)
  2. Ventral midline hernia (surgical incision)
  3. Lateral abdominal wall hernia (trauma)
  4. Degeneration (pre-pubic tendon rupture)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Incarcerated hernia

A

Cant reduce

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Strangulating hernia

A

Incarcerated hernia that obstructs vascular supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Parietal hernia

A

Portion of intestine wall involved with hernia

-Leads to external drainage without internal contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hernia anatomy

A
  1. The ring
  2. The sac
  3. The components
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Anatomic location

A
  1. Umbilical
  2. Ventral midline
  3. Caudal abdominal-inguinal hernia
  4. Lateral abdominal
  5. Pre-pubic tendon rupture
  6. Diaphragmatic (internal abdominal hernia)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Umbilical Hernia Background

A
  1. Natural closures w/in 1-2 weeks of life
  2. True umbilical hernia if present at 5-8 weeks old
  3. No clear etiology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Umbilical Hernia Treatment

A
  1. < 5 cm-conservative, sx if still present at 4 months

2. > 10 cm SURGERY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hernia clamp

A

probs bad news bears, don’t use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Umbilical Herniorraphy techniques

A

Closed-sac intact

Open-sac removed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Post op care umbilical herniorraphy

A
  1. Meds
    - abx clean (24-48 hours), clean-contaminated (3-5d)
    - anti-inflammatories: 3-5 days
  2. Abdominal support bandage-dead space
  3. Exercise restrictions: 30-45d stall rest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Caudal abdominal hernia types

A

Indirect (most common; adults > foals)

Direct (less common; foals > adults)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Caudal abdominal hernia predispositions

A

Breed
Standarbreds, Tennessee walkers, saddlebreds
Other hx
Strenuous exercise, trauma, breeding

17
Q

Caudal abdominal hernia foals

A
  1. Congenital
  2. Indirect-reducible, resolve 3-6 mos
  3. Direct hernias-Irreducible, large segment (3 ft), strangulation (emergency)
18
Q

Caudal abdominal hernia adults

A
  1. Acquired indirect hernias
  2. Irreducible
  3. Short segment (6 inches)
19
Q

Caudal abdominal hernia foal-tx

A
  1. Dorsal recumbency under GA
  2. Approaches
    - inguinal approach +/- castration
    - midline celiotomy; ring closure
    - laparoscopic repair +/- castration
  3. Inguinal
    - Locate tunic and contents
    - twist
    - closed castration
    - +/- external ring closure
20
Q

Ventral Midline hernias etiology

A
  1. Inadequate healing of previous incision

2. Excessive strain

21
Q

Ventral midline hernias types

A

Acute total

Chronic insidious

22
Q

Acute total dehiscence

A 
First 4-7 days post-op
Emergency
Peritoneal leakage
Palpable gaps in abdominal wall
Place support abdominal bandage and take to sx
23
Q

Acute total dehiscence procedure

A
  1. Removed devitalized tissue
  2. Sample for C & S -> Abx tx
  3. Vertical mattress pattern
  4. Preplace sutures
  5. Twist vs tie
24
Q

Acute total dehiscence post-op

A
  1. Compression abdominal bandage, change q 24h, for 30d
  2. abx
  3. stage removal wires and stent
25
Q

Chronic incisional hernia

A
  1. Can be managed conservatively
  2. Establish drainage, find pockets eval linea w/ U/S
  3. Hernia belt (6-8 months)
26
Q

Chronic incisional hernia indications for sx

A
  1. Chronic incisional hernias
  2. Large defects
  3. Previous herniorrhaphy failure
27
Q

Chronic incisional hernia Types

A
  1. Proxoplast-plastic, cheaper

2. Marlex-knitted polypropylene, better

28
Q

Chronic incisional hernia sx requires

A
  1. No infection

2. Skin for primary closure

29
Q

Chronic incisional hernia sx types

A
  1. Retroperitoneal
  2. Subperitoneal
  3. Subcutaneous
30
Q

Pre-pubic tendon rupture etiology

A

Old mares that have had tons of babies

31
Q

Prepubic tendon rupture CS

A
  1. Lordosis
  2. Tail head elevation
  3. Ischial tuberosity elevation
  4. Ventral edema
    - muscle damage
    - venous congestions
  5. Crania udder displacement
32
Q

Prepubic tendon rupture TX

A
  1. Supportive care (belly band, NSAIDS)

2. No more breeding

33
Q

Internal Abdominal Hernia types

A
  1. Mesenteric hernias
  2. Epiploic foramen entrapment
  3. Gastrosplenic ligament entrapment
  4. Diaphragmatic hernias
    - congenital-ventral diaphragm
    - acquired-dorsal diaphragm
34
Q

Lateral abdominal hernia

A

It’s a thing, no notes

35
Q

Parietal Hernia

A

Parietal hernia with 1/2 bowel in it is a richter’s hernia

-old horse problem

Eq SX Final (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions