Inguinal Hernias Review Questions Flashcards
If a surgeon notes that there is a loop of intestines passing through the deep inguinal ring, what type of hernia will it be?
An indirect inguinal hernia
What type of hernia exit through the umbilicus and not the deep inguinal ring?
Umbilical hernia
If a lumbar hernia penetrates superiorly, what kind of hernia is it? And inferiorly?
superior: grynfeltt hernia
inferior: petit hernia
“superior means GRand”
“inferior means small/or PEtite ppl”
What type of hernia passes through the inguinal triangle (of Hesselbach) ?
Direct Inguinal Hernia
What are the borders of the Hesselbach triangle?
- Inferior border:: is the illiopubic tract of the inguinal ligament
- ) Lateral border:: is the inferior epigastric vessels
- )Medial border: is the lateral edge of the rectus abdominis
Which feature is more common of the indirect inguinal hernia but does not happen with the direct inguinal hernia?
It passes through the deep ring of the inguinal canal and often passes through the superficial ring into the labium or scrotum. (less common in direct)
If the tip of the examiner’s little finger is inserted into the superficial ring and the patient is asked to couch, what hernia can be felt hitting the very tip of the finger?
Indirect inguinal hernia
A direct inguinal hernia will be felt on what part of the finger?
Side of Digit
What vessels pass through the deep inguinal ring?
Ductus deferens and testicular vessels.
So if intestines are found passing along the ductus deferens and testicular vessels it is an inguinal ring.
What is the most common type of hernia in a female patient?
Indirect hernias are most common types of hernia in women.
The transversus abdomnis aponeurosis (of rectus abdominis) and transversalis fascia forms a significant portion of what structures?
posterior wall of the inguinal canal and lower part of the inguinal triangle (of Hesselbach).
Gradual weakness or attrition of tissues in posterior wall of inguinal canal will cause what kind of hernia to arise?
A direct inguinal hernia
The anterior wall of the inguinal canal is made of:
aponeurosis of external and internal oblique muscles and
The posterior wall of the wall/floor of the inguinal canal is made of which layers:
transversalis fascia and conjoint tendon (transversus abdominis plus internal oblique muscle)
A patent process vaginalis at the deep inguinal ring or expansion of the deep inguinal ring with stretching the transversalis fascia can contribute to the formation of:
Indirect Inguinal hernia