Hernias Flashcards
(13 cards)
What is a hernia?
Protrusion, bulge or projection of an organ through the body wall that normally contains it
What is the most common type of hernia?
Indirect inguinal hernia
What are the characteristics of an indirect inguinal hernia?
Protrudes via the internal inguinal ring: lateral to the inferior epigastric vessels
What are the characteristics of a direct inguinal hernia?
Protrudes medial to the inferior epigastric vessels within the Hasselbalch triangle
What type of hernia protrudes medial to the inferior epigastric vessels?
Direct inguinal hernia
What type of hernia protrudes lateral to the inferior epigastric vessels?
Indirect inguinal hernia
What are the characteristics of a femoral hernia?
Protrudes through the femoral ring: inferior to the inguinal ligament, medial to the femoral vein and lateral to the lacunar ligament
What are the characteristics of an umbilical hernia?
Results from failure of the umbilical ring to close spontaneously
What are the characteristics of an epigastric hernia?
Results from defects in the abdominal midline between the umbilicus and the xiphoid process
What Is Hasselbalch’s triangle comprised of?
Inferior inguinal ligament (Poupart)
Lateral inferior epigastric artery
Medial conjoint tendon
What is the best initial test for a suspected hernia?
Thorough history and physical
What is the most accurate test for a hernia?
CT or MRI
what is the definitive treatment for any type of hernia?
Surgical repair
