Inguinal Hernia Flashcards
1
Q
Inguinal hernia
A
- Hernia transversing Inguinal canal
- Direct and indirect (oblique) hernias
2
Q
Indirect
A
Enters Inguinal canal indirectly through deep Inguinal ring
3
Q
Indirect: incidence
A
Commonest
4
Q
Indirect: defect at operation
A
Stretched deep ring lateral to inferior epigastric artery
5
Q
Indirect: descent
A
Forwards, downwards, and medial
6
Q
Indirect: reduction
A
Upwards, lateral, and backwards
7
Q
Indirect: site
A
Inguinal or inguinoscrotal
8
Q
Indirect: Inguinal ring test
A
Hernia doesn’t descend
9
Q
Indirect: external ring test
A
Impulse on finger tip
10
Q
Indirect: complications
A
Common (narrow neck)
11
Q
Indirect: coverings in Inguinal region
A
- Skin
- Superficial fascia
- External oblique aponeurosis
Coverings of cord: - Cremasteric muscle and fascia
- Internal spermatic fascia
12
Q
Indirect: coverings in scrotum
A
- Skin
- Non fatty superficial fascia (dartos muscle)
Coverings of cord: - External spermatic fascia
- Cremasteric muscle and fascia
- Internal spermatic fascia
13
Q
Direct
A
Enters Inguinal canal directly through its posterior wall
14
Q
Direct: incidence
A
Less common
15
Q
Direct: defect at operation
A
Hasselbach’s triangle medial to inferior epigastric artery
