Ventral hernia Flashcards
Define umbilical hernia
a hernia occurring through a defect in the abdominal wall at the umbilical cicatrix
umbilical hernia risk factors
- Obesity
- Multiparity
- old age
- Male gender
Define spigelian hernia
a rare form of abdominal hernia occurring around the level of the arcuate line at the semilunaris
what condition is spigelian hernia assoc. with
cryptorchidism
spigelian hernia Mx
surgical intervention
why surgical intervention is indicated for spigelian hernia
high risk of strangulation - narrow hernia neck
Define Richter’s Hernia
A partial herniation the anti-mesenteric wall without compromising the lumen becomes involved in the hernia
Richter’s Hernia Mx
urgent surgical intervention
Richter’s Hernia complication
Strangulation - will progress very rapidly to ischaemia and necrosis
Obturator hernia
obturator hernia is a hernia of the pelvic floor, occurring through the obturator foramen, into the obturator canal
why is obturator hernia most common in women and older people
- wider pelvis
- lack of fat within the obturator canal = more space for herniation
obturator hernia location
upper medial thigh
Obturator hernia complication
compression of the obturator nerve
Obturator hernia Mx
Urgent surgical repair
high risk of strangulation
Name the sign of compression of the obturator nerve by obturator hernia
Howship-Romberg sign
Positive Howship-Romberg sign
hip and knee pain exacerbated by thigh extension, medial rotation, and abduction
Richter’s Hernia Sx
- abdo pain / discomfort
- palpable mass / lump
