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Flashcards in Hernias Deck (21)
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1

most common general surgical procedure

inguinal hernia repair

2

Difference in the epidemiology of inguinal and femoral hernias

inguinals are more common men and femoral are more common in women

3

Contributes to the formation or worsening of a hernia

any condition that increases the pressure of the abdominal cavity

4

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

reducible hernia

5

Patient presents with painful enlargement of hernia that can't be returned to abdominal cavity. nausea and vomiting

irreducible hernia

6

Irreducible hernia where the entrapped intestine has its blood supply cut off. Patients may appear ill with or without fever

strangulated hernia

7

refers to trapping of the hernia ( at the internal or external ring or the femoral canal), so that it cannot be reduced

incarceration

8

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

9

arise due to defective obliteration of the fetal processus vaginalis, which follows the path through the inferior anterior abdominal wall

indirect inguinal hernias

10

Which side do indirect inguinal hernias develop on more frequently?

the right

11

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

12

What do direct inguinal hernias occur through?

Hesselbach's triangle

13

What forms Hesselbach's triangle?

inguinal ligament, epigastric vessels, rectus abdominus muscle

14

Develop in the empty space at the medial aspect of the femoral canal.

femoral hernias

15

Where are the femoral nerve, artery, and vein located in relation to the empty space in the femoral canal where hernias develop?

lateral

16

Risk factors that contribute to formation of femoral hernias

pectineus muscle atrophy, prior inguinal hernia, weakness of pelvic floor muscles from previous childbirth

17

Cause of pain related to femoral hernias

stretching of ilioinguinal nerve

18

What position is it usually easier to demonstrate a hernia?

standing

19

Definitive treatment for all hernias

surgical repair

20

When is the risk of incarceration the greatest?

soon after hernia manifests

21

How does the likelihood of incarceration relate to the size of a hernia?

likelihood of incarceration also decreases as the hernia increases in size since it is less likely that intestinal or visceral contents will become caught within a large sac