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Flashcards in Hernia & abd wall probs Deck (14):
1

Types of hernia by age

0-2 years: indirect inguinal hernia 2-20 yrs: hernia uncommon 20-50 yrs: indirect inguinal hernia 50+ yrs: direct inguinal hernia

2

What are the layers of the abdominal wall?

Skin, subq fat, Scarpa's fascia, external oblique muscle, internal oblique muscle, tranversus abdominis muscle, transversalis fascia, peritonal fat, peritoneum

3

Femoral canal structures

Lateral to medial = NAVEL: nerve, artery, vein, empty space, lymph nodes

4

Hesselbach's triangle

Borders: inferiorly, inguinal ligament. medially, rectus abdominis. laterall, inferior epigastric vessels. Direct inguinal hernias come through Hesselbach's triangle.

5

Females usually have what type of inguinal hernia?

Indirect. Direct is very rare in females

6

How to distinguish hydrocele from irreducible groin hernia?

Hydroceles transiluminate, groin hernias do not

7

Direct inguinal hernia

Enters inguinal canal through its weakened posterior wall. Does NOT pass through inguinal ring. Predisposing factors: older, smoker, cough, straining, hard labor.

8

Indirect inguinal hernia

Herniation through the internal inguinal ring -> external ring. If complete, can enter scrotum. If congenital, it is assoc with patent processus vaginalis. Occurs in bothmales > females, all ages.

9

Femoral hernia

A form if indirect hernia arising out of the femoral canal beneath the inguinal ligament. Females > males, uncommon overall. High risk of strangulation.

10

Surgical repair for peds umbilical hernia is indicated when?

Defect > 2 cm OR child > 3-5 yrs old OR protrusion disfiguring/disturbing

11

Esophageal hiatal hernia type I (90%)

Sliding: GEJ and stomach herniate into thoracic cavity. Can lead to reflux, Barrett's, etc. Medical management for GERD, less commonly do surgery (fundoplication).

12

Esophageal hiatal hernia type II (rare)

Paraesophageal: herniation of stomach into the thorax by way of esophageal hiatus, w/o disruption of the GEJ. Needs prompt surgical correction.

13

What types of hernias are assoc with obesity?

Direct inguinal, paraumbilical, and hiatal hernias

14

Esophageal hernias picture

A image thumb