Flashcards in GI9 Deck (14):
What are the types of Hernias?
What is a hiatal hernia?
most common Diaphragmatic hernia
Stomach herniates upward through the esophageal hiatus of the diaphragm
What is a paraesophageal hernia?
Gastro-Esophageal junction is normal.
Fundus protrudes into thorax
What is the path of an Indirect inguinal hernia?
1-INternal (deep) inguinal ring,
2-External (superficial) inguinal ring.
*Follows the path of descent of the testes
Enters inguinal ring LATERAL to Inferior epigastric a.
T/F - Indirect inguinal hernia is covered by all 3 layers of spermatic fascia.
What is the embryological cause of an indirect inguinal hernia?
Failure of the Processus Vaginalis to close
*More common in males
Direct inguinal hernia.
-Protrudes through inguinal (Hesselbach's) triangle
-Goes through External (superficial) inguinal ring ONLY
-Bulges directly through abdominal wall MEDIAL to inferior epigastric artery
Direct inguinal hernias are more common in who?
What is the relationship of Direct & Indirect inguinal hernias to the Inferior Epigastric A.?
"MDs don't LIe"
Medial to inferior epigastric = Direct
Lateral to inferior epigastric = Indirect
Protrudes below inguinal ligament through femoral canal below and lateral to pubic tubercle.
T/F - Femoral hernias are more common in females.
Femoral hernias are the leading cause of what?
What are the borders of Hesselbach's triangle?
-Inferior Epigastric vessels
-Lateral border of Rectus Abdominis