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Flashcards in GI9 Deck (14):
1

What are the types of Hernias?

Diaphragmatic
Indirect inguinal
Direct inguinal
Femoral

2

What is a hiatal hernia?

most common Diaphragmatic hernia

Stomach herniates upward through the esophageal hiatus of the diaphragm

3

What is a paraesophageal hernia?

Diaphragmatic hernia

Gastro-Esophageal junction is normal.

Fundus protrudes into thorax

4

What is the path of an Indirect inguinal hernia?

1-INternal (deep) inguinal ring,
2-External (superficial) inguinal ring.
3-Scrotum

*Follows the path of descent of the testes

Enters inguinal ring LATERAL to Inferior epigastric a.

5

T/F - Indirect inguinal hernia is covered by all 3 layers of spermatic fascia.

True

6

What is the embryological cause of an indirect inguinal hernia?

Failure of the Processus Vaginalis to close

*More common in males

7

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

8

Direct inguinal hernias are more common in who?

older men

9

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

10

Femoral hernia.

Protrudes below inguinal ligament through femoral canal below and lateral to pubic tubercle.

11

T/F - Femoral hernias are more common in females.

true

12

Femoral hernias are the leading cause of what?

Bowel Incarceration

13

What are the borders of Hesselbach's triangle?

-Inferior Epigastric vessels
-Lateral border of Rectus Abdominis
-Inguinal ligament

14

Direct inguinal hernias are covered by what layers of spermatic fascia?

External Spermatic fascia