Umbilical Hernias and Disease

Question 1

What structures make up the umbilicus stalk?

Answer 1

Urachus
Umbilical Veins
Umbilical arteries (cant palpate - inside)

Question 2

What does each of the following become after birth?
Umbilical Arteries
Umbilical Vein
Urachus

Answer 2

Lateral Ligaments of blader
Falciform ligament or round lig
Should dissapear

Question 3

What is a hernia?

Answer 3

protrusion of organ through the wall of the cavity normally containing it

Question 4

What is the most common birth defect in calves?

Answer 4

Umbilical hernia

Question 5

What are some differentials for a hearnia?

Answer 5

Hernia, mass, hematoma, abscess

Question 6

How do we examine the umbilicus?

Answer 6

Palpation - firm, fluid, painful, can reduce, how big hole?
Ultrasound

Question 7

What are some disease of the umbilicus?

Answer 7

Umbilical Hernia
Omphalitis - omphaloarterieis, omphalophelbitis, urachal remnant infection
Abscess - internal or external
Richters Herina (luminal organ out- nonreducible)
Omphalocele - organs out/intestines

Question 8

How do you repair a simple hernia?

Answer 8

Belly band and time
-mess than 2-3 fingers

Question 9

How do you surgically fix a hernia?

Answer 9

Fast 12-24hr
Sedate - Ketamine, Xylazine, MBK
Local Anesthesia
Dorsal Recumbency
Elliptical or half moon incision
Dissect through SQ around it down to the rectus abdominus and hernia sac
Enter cranial or caudal to mass
Dissect around hernia mass, remove sac and freshen edges
Close body wall
Close sub q
close skin

Question 10

What suture do you use for umbilical hernias?

Answer 10

1 Vicryl