Abdominal Wall Hernias

Question 1

Risk factors

Answer 1

• obesity
• ascites
• age increasing
• surgical wounds

Question 2

features of hernias

Answer 2

palpable lump
cough impulse
pain

Question 3

what is obstruction more common with?

Answer 3

femoral hernias

Question 4

what does strangulation compormosise?

Answer 4

blood supply leading to infarction

Question 5

what is the location of inguinal hernia?

Answer 5

above and medial to pubic tubercle

Question 6

What is the location of the femoral hernia?

Answer 6

below and lateral to the pubic tubercle

Question 7

is a femoral hernia more common in women or men?

Answer 7

women - multiparous ones

Question 8

What are the risk factors for epigastric hernia?

Answer 8

extensive physical training

coughing

obesity

Question 9

in what % of people do incisional hernia occur in?

Answer 9

10

Question 10

What is a spigelian hernia?

Answer 10

lateral ventral hernia

older patients

through the spiegelian fascia - aponeurotic layer between the rectus abdomens muscle medially and the semilunar line laterally

Question 11

What is obturator hernia?

Answer 11

passes through obturator frogmen

females

presents with bowel obstruction

Question 12

What is a Richter hernia?

Answer 12

rare

only the anti mesenteric border of the bowel herniates through the fascial defect

presents with strangulation and symptoms of obstruction

Question 13

What is a congenital inguinal hernia?

Answer 13

indirect hernia

caused by patent processes vaginalis

60% right sided

surgically repaired asap - risk of incarceration

Question 14

What is an infantile umbilical hernia?

Answer 14

afro-carribbean

premature babies

resolve without intervention