Hernia

Question 1

Hormonal cause of Hernia development

Answer 1

Calcitonin gene related peptide
Hepatocyte growth factor

Closure of processus vaginalis

Question 2

Classification Hernia

European Hernia Society

Answer 2

Primary or Recurrent ( P/R)
Lateral, medial or femoral (L/M/F)
Defect size in finger breadths (1.5 cm)

Question 3

Nyhus classification

Answer 3

I indirect with internal ring normal
II indirect with dilated internal ring
III
    A direct
    B indirect with ...
    C femoral
IV recurrent

Question 4

Myopectineal orifice boundaries

Answer 4

Superior - Conjoint Tendon
Inferior - pecten Pubis
Medial - rectus abdominis
Lateral - ilio psoas

Question 5

Hesselbach triangle

Answer 5

Medial - Rectus abdominis lateral
Lateral - inferior epugastric vessels
Inferior - infuinal ligament

Question 6

Boundaries of inguinal canal

Answer 6

Anterior - Conjoint tendon laterally and External Aponeurosis
Posterior - transversalis Fascia and posteromedially Conjoint tendon
Roof - conjoint tendon
Floor - inguinal ligament