Other Abdominal Hernias Flashcards
Other abdominal hernias
- Incisional hernia
- Sliding hernia
- Lumbar hernia
- Obturator hernia
Incisional hernia
Hernial sac passes through previous operation scar 2nd common hernia
Sliding hernia
Viscus (caecum, bladder, or ovary) slides extra-peritoneally beside sac through wide hernial defect
Lumbar hernia
- Inferior lumbar hernia
- Superior lumbar hernia
Inferior lumbar hernia
Commonest through inferior lumbar triangle of petit
Inferior lumbar hernia boundries: anterior
External abdominal oblique posterior free border
Inferior lumbar hernia boundries: posterior
Lattismus dorsi anterior border
Inferior lumbar hernia boundries: base
Iliac crest
Inferior lumbar hernia boundries: apex
Meeting of external abdominal oblique and Lattismus dorsi
Inferior lumbar hernia boundries: floor
Internal oblique muscle
Superior lumbar hernia
Through superior lumbar triangle which is bounded by:
1. 12th rib sacrospinalis lateral border
2. Internal oblique posterior border
Obturator hernia
Passes through Obturator canal and is more common in women