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Flashcards in Abdominal Hernia Deck (20)
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1

An atomic locations for various hernias

Epic Astrid
Umbilical
Inguinal
Femoral

2

The most common subtype of inguinal hernia is

Indirect inguinal hernia

3

About 75% of abdominal hernia occur in the

Inguinal area

4

Boundaries of the inguinal canal

External oblique aponeurosis - anteriorly
Internal oblique muscle- laterally
Transversalis fascia and transversus abdominis - posteriorly
Internal oblique muscle- superiorly
Inguinal ligament (Poupart’s ligament ) inferiorly

5

Spermatic cord contains

3 arteries
3 veins
2 nerves
Pampiniform venous plexus
Vas deferens

6

Spermatic cord is enveloped in

3 layers of spermatic fascia

7

Protrude lateral to the inferior epigastric vessels, through the deep inguinal ring

Indirect

8

Protrude medial to inferior epigastric vessels

Direct

9

Borders of Hesselbach triangle

Inferior: inguinal ligament
Medial: lateral edge of rectus sheath
Superolaterally: inferior epigastric vessels

10

Protrude through the small and inflexible femoral ring

Femoral hernias

11

Borders of femoral ring

Anterior: iliopubic tract and inguinal ligament
Posterior: cooper’s ligament
Medial: lacunar ligament
Lateral: femoral vein

12

Between the peritoneum and the posterior lamina of the transversalis fascia is this space

Bogros’s (preperitoneal) space.

13

This area contains preperitoneal fat and areolar tissue.

Bogros’s (preperitoneal) space.

14

The most medial aspect of the preperitoneal space, that which lies superior to the bladder, is known as the space of

Retzius

15

prominent inguinal fat pad in a thin patient, otherwise known as a

Femoral pseudohernia

16

Femoral hernias should be palpable below

Below the inguinal ligament
Lateral to pubic tubercle

17

S and S of US

sensitivity of 86% and specificity of 77%

18

CT S and S

sensitivity of 80% and specificity of 65%

19

indication for emergent inguinal hernia repair

impending compromise of intestinal contents.

20

Clinical signs that indicate strangulation include

fever, leukocytosis, and hemodynamic instability.