Hernia Flashcards
What are the features of an abdominal wall hernia lump (4)
Soft
Lump is reducible
Lump protrudes on coughing
Aching pulling or dragging sensation felt
3 complications of hernia
Incarceration (irreducible)
Leading to Obstruction (faeces blocked, presents with symptoms of obstruction)
Or Strangulation (non reducible, blood supply cut off, surgical emergency)
What is the complication of a Richter hernia?
Strangulation
What is a unique feature of Maydl’s hernia?
Two loops of bowel in one hernia
Why may an abdominal wall hernia not need surgery? (2)
If patient has a broad base hernia
AND
not fit for surgery
A ___ repair of an abdominal wall hernia involves placing a mesh over the defect
Tension free
What are the two types of surgical repair in abdominal wall hernias? Which has a higher recurring rate?
Tension (suture of muscles and tissue of defect back together)
Tension free (mesh)
Tension has higher recurrence
The two types of inguinal hernias
Indirect
Direct
An indirect hernia is when bowl herniates through the ___
Inguinal canal
What are the two rings that are connected by the inguinal canal
Deep inguinal ring (opens into peritoneum)
Superficial inguinal ring (opens into scrotum)
What travels through the inguinal canal in males?
Spermatic cord
What passes through the inguinal canal in females?
Round ligament of the uterus
Normally, after the testes descend, the ___ inguinal ring closes and the ___ is obliterated
Deep
Processus vaginalis
What does the bowel herniate through in a direct inguinal hernia?
Hasselbach’s triangle
What are the borders of Hasselbach’s triangle?
RIP
Rectum abdominis (medial)
Inferior epigastric vessels (superior and lateral)
Poupart’s/inguinal ligament (inferior)
