Inguinal hernia Flashcards
What are Inguinal hernias the most common cause of?
Abdominal wall hernia
Who is most affected by an inguinal hernia?
Men
How do inguinal hernias present?
groin lump
–superior and medial to the pubic tubercle
–disappears on pressure or on lying down
Where do inguinal hernias appear?
Superior and medial to the pubic tubercle
What causes an inguinal hernia to disappear?
Pressure
On lying down
What can cause discomfort and ache with a hernia?
Physical activity
What is an indirect inguinal hernia?
Bowel herniates through the inguinal canal
What is a direct inguinal hernia?
Hernia comes through the a weakness in the posterior wall of the abdomen
In who does an indirect inguinal hernia usually occur?
Young male patients
In who does an direct inguinal hernia usually occur?
Elderly male patients.
Where might indirect inguinal hernias descend into?
The scrotum
Direct inguinal hernias rarely do
Which form of inguinal hernia is usually congenital and which is usually aquired?
Indirect- Congenital
Direct- aquired
What is the name of the part of teh posterior wall that the direct inguinal hernia comes through?
Hesselbach’s triangle
What are the boundaries of Hesselbach’s triangle?
R – Rectus abdominis muscle – medial border
I – Inferior epigastric vessels – superior / lateral border
P – Poupart’s ligament (inguinal ligament) – inferior border
What is the management of inguinal hernias?
Surgical- mesh repair
