Other hernias Flashcards
1
Q
Apart from Inguinal and femoral hernias, what other abdominal hernias are present?
*think 9
A
- Hiatus
- Incisional
- Epigastric
- Paraumbilical
- Sphigelian
- Obturator
- Littre’s
- Lumbar
- Richter’s
2
Q
Where do epigastric hernias occur?
A
- @ upper midline through the fibres of the linea alba

3
Q
What causes EH?
A
- Pregancy
- Obesity
- Ascites
4
Q
What is an important differential for EH?
A
- Rectus Divarication
- difference is that in divarification the linea alba is stretched and weakened but is intact
5
Q
What is Paraumbilical hernia?
A
- herniation occurring through the linea alba around the umbilical region

6
Q
What causes PH?
A
- Obesity
- Pregnancy
7
Q
What are the congenital differentiation for PH?
A
- omphalocele
- gastroschisis
8
Q
Do PH commonly strangulate?
A
- no
9
Q
What is Sphigelian hernia?
A
- hernia that occurs at the semilunar line, around the level of the arcuate line
- Rare

10
Q
A
11
Q
Are SH high risk of strangulation?
A
- yes. Surgical emergency
12
Q
What is Obturator Hernia?
A
- hernia of the pelvic floor, occurring through the obturator foramen, into the obturator canal

13
Q
What are the RF for OH?
?
A
- F
- Elderly
- Undergone rapid weight loss
*anything with wider pelvis
14
Q
What are the clinicl features of OH?
A
- Mass in upper medial thigh
- Bowel obstruction
- positive Howship-Romberg sign
- (hip and knee pain exacerbated by thigh extension, medial rotation, and abduction).
15
Q
What is Littre’s Hernia?
A
- herniation of a Meckel’s diverticulum
- commonly occurs in the inguinal canal
- Common to strangulate
- uncommon hernia

16
Q
What is Lumbar hernia?
A
- posterior hernias, that typically occur spontaneously or iatrogenically following surgery (classically following open renal surgery)
- uncommon
- CF: Posterior mass + back pain

17
Q
What is Richter’s hernia?
A
- occur at any of the above sites and is a partial herniation of bowel, whereby the anti-mesenteric border becomes strangulated, therefore only part of the lumen of the bowel is within the hernial sac

18
Q
What are the CF of RH?
A
- tender irreducible mass
- varying levels of obstruction
- surgical emergencies