Session 3 - Part II Flashcards
Define Hernia
Protrusion of abdominal contents through the abdominal wall
What are the 4 sites you could have a hernia?
Inguinal
Femoral
Umbilical
Epigastric
What can help prevent hernias?
Transversalis fascia
Where do indirect inguinal ligaments travel?
Through the inguinal canal and deep ring
Where do direct inguinal ligaments travel?
Through the weak Hesslebach’s triangle
What are some of the properties of direct inguinal ligaments?
Rarely strangulate
Bilateral
What is important to remember with femoral hernias?
They are at risk of strangulation because the space they pass into is very small
Where do femoral hernias occur?
In the femoral canal below the inguinal ligament
What can a femoral hernia commonly be mistaken as?
An englarged lymph node
What is a risk associated with umbilical hernias?
Strangulation
Generally don’t operate on unless neccessary
What is a Richter’s Hernia?
Part of the bowel is strangulated, but the bowel is not obstructed because not all of it is trapped
Where do Spigelian hernias occur?
At the arcuate line due to the lack of posterior sheath here
Define strangulated
The blood supply is cut off (Can lead to venous congestion then arterial blood being blocked = necrosis)
Define incarcerated
The bowel is stuck
What are incisional hernias?
A hernia occurs where there has been a surgeon’s incision, can be very painful and strangulate.
