review questions Flashcards
hernia definitino
protrusion of a Viscus or OTHER structure beyond the NORMAL coverings of the CAVITY where it;s contained
hernia elements
sac, neck, contents
hernia complications
incarceration
obstruction
strangulation
taxis?
non operative treatment of intestinal obstruction by MANUAL REPOSITIONING
define strangulated hernia
IRREDUCIBLE hernia with ISCHEMIC or necrotic contents
define reccurent hernia
hernia that occurs after a previous hernia REPAIR
anterior wall hernia types
groin-femoral/inguinal
umbilical
epigastric
spligellian
incisional
inguinal canal anatomy
ant wall: apenourosis of ext obliqw
post wall: transversalis facia
sup wall; fibers of INToblique and transverse abdominis
inf wall: inrolled edge of inguinal ligament
INT ring- round lig/ SC emerge via T-VERSALIS Fascia
EXT ring- lying over the pubic tubercle
femoral canal anatomy
Ant wall: INGUINAL lig
Med wall: LACUNAR part of inguinal lig
Post wall: ILIOPECTINEAL lig
Lat wall: Femoal VEIN
most common anteror ab wall hernias
inguinal hernia cause 80% of hernias
types of inguinal hernias and their anatomical difference
indirect- sac goes THROUGH the canal (int to ext rings)
Direct- though the transversalis facia (post wall)
define epigastric hernia
Protusion of PREPERITIONEAL FAT through a fascial defect in the DECUSSATING fibers of the SupraUmbillical portion of the LineaAlba
define spligelian hernia
INTERPARIETAL hernia in the SEMILUNAR line which is the lateral margin of the rectus sheath from 9th costal cartilage to pubic crest
define incisional hernia
hernia though a cicatric/ scar of aa previous operation
tyoes of adult umbilical hernias
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richters hernia def
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littres hernia define
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dx bet femoral and inguinal hernia
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why is taxis C.i for STRANGULATED umbilical hernia in adults
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62 yo being op for left inguinal hernia repair. large indirect sliding hernia is found and during dissection the sigmoid is injured. colotomy is repaired w/ sutures, which repair is used in this sitch-
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contents of inguinal canal in men
spermatic cord
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mc hernia repair of today
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list possible organs found in the sac of an ingiunal hernia
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except INGUINAL HERNIA, a bulge in the inguinal region and scrotum can be what
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how many hours after onset of sx can NON OP rx (taxis) of incarcerated hernia be applied
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why is the rare Richter hernia so dangerous
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posterior wall of inguinal canal is used for most hernia repairs. what is it composed of
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Pantaloon hernia is a rare type of inguinal hernia. what is so specific about it
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what are tthe causes pf Umbilical hernia in adults (aquired)
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why is a loss of abdominal domain a problem in incisional hernia repair
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