11. Epigastric Hernia Flashcards Preview

Surgery.(General 1).Hernia > 11. Epigastric Hernia > Flashcards

Flashcards in 11. Epigastric Hernia Deck (15)
Loading flashcards...
1
Q

PATHOLOGY and TYPES of Epigastric Hernia

A
  1. Fatty hernia of the linea alba

2. True Epigastric hernia

2
Q

Pathogenesis of Fatty hernia of the linea alba in PATHOLOGY and TYPES of Epigastric Hernia

A

The hernia starts as a protrusion of the extraperitoneal fat through a defect in the supraumbilical part of the linea alba

3
Q

Pathogenesis of True Epigastric hernia in PATHOLOGY and TYPES of Epigastric Hernia

A

As the protrusion enlarges, the extraperitoneal fat pulls a small peritoneal sac through the defect which may contain intestine or omentum.

4
Q

The defect in the linea in Pathogenesis of True Epigastric hernia in PATHOLOGY and TYPES of Epigastric Hernia

A
  • Alternative name

* Structures Passing through

5
Q

Alternative name for The defect in the linea in Pathogenesis of True Epigastric hernia in PATHOLOGY and TYPES of Epigastric Hernia

A

Foramen of Egres

6
Q

Structures Passing through The defect in the linea in Pathogenesis of True Epigastric hernia in PATHOLOGY and TYPES of Epigastric Hernia

A

Paramedian vessels and nerves

7
Q

Difference between True epigastric hernia and fatty hernia of linea alba

A

No expansile impulse with cough with fatty hernia of linea alba

8
Q

Difference between fatty hernia of linea alba and Lipoma

A

Can not be differentiated from lipoma except intraoperative

9
Q

CLINICAL PICTURE of Epigastric Hernia

A
  • Associated symptoms

* Examination

10
Q

Associated symptoms in CLINICAL PICTURE of Epigastric Hernia

A

Dyspepsia and epigastric pain

11
Q

Pathogenesis of Dyspepsia and epigastric pain

A

may be due to traction on the lesser omentum or the stomach

12
Q

Examination in CLINICAL PICTURE of Epigastric Hernia

A
  • Soft epigastric swelling
  • Frequently irreducible
  • Gives expansile impulse on cough.
13
Q

TREATMENT of Epigastric Hernia

A
  • Exclusion of similar diseases first

* Repair

14
Q

Exclusion of similar diseases first in TREATMENT of Epigastric Hernia

A
  • Exclude first peptic ulcer or gallbladder disease by endoscopy or abdominal U.S
  • if there is continuous dyspepsia & epigastric pain
15
Q

Repair in TREATMENT of Epigastric Hernia

A

1) Hernioplasty.
2) Anatomical repair.
3) Mayo’s repair (vertical)