Flashcards in Hernias Deck (21)
most common general surgical procedure
inguinal hernia repair
Difference in the epidemiology of inguinal and femoral hernias
inguinals are more common men and femoral are more common in women
Contributes to the formation or worsening of a hernia
any condition that increases the pressure of the abdominal cavity
Patient presents with a new lump in groin/abdomen that aches but isn't tender to touch. Lump increases in size when standing. May be pushed back into the abdomen
Patient presents with painful enlargement of hernia that can't be returned to abdominal cavity. nausea and vomiting
Irreducible hernia where the entrapped intestine has its blood supply cut off. Patients may appear ill with or without fever
refers to trapping of the hernia ( at the internal or external ring or the femoral canal), so that it cannot be reduced
What is the difference in origin between direct and indirect inguinal hernias?
indirect hernias originate lateral to the inferior epigastric artery whereas direct hernias arise medially
arise due to defective obliteration of the fetal processus vaginalis, which follows the path through the inferior anterior abdominal wall
indirect inguinal hernias
Which side do indirect inguinal hernias develop on more frequently?
Inguinal hernias develop at the internal ring. In males this is the site where the spermatic cord exits the abdomen. What exits in females?
the round ligament
What do direct inguinal hernias occur through?
What forms Hesselbach's triangle?
inguinal ligament, epigastric vessels, rectus abdominus muscle
Develop in the empty space at the medial aspect of the femoral canal.
Where are the femoral nerve, artery, and vein located in relation to the empty space in the femoral canal where hernias develop?
Risk factors that contribute to formation of femoral hernias
pectineus muscle atrophy, prior inguinal hernia, weakness of pelvic floor muscles from previous childbirth
Cause of pain related to femoral hernias
stretching of ilioinguinal nerve
What position is it usually easier to demonstrate a hernia?
Definitive treatment for all hernias
When is the risk of incarceration the greatest?
soon after hernia manifests