Hernias

Question 1

irreducible, obstructed vs strangulated hernia

Answer 1

irreducible -> can’t push back in
obstructed -> bowel contents can’t pss through
strangulated -> ischaemia

Question 2

indirect vs direct hernia (what, relation to vessels, what age group). which is most common?

Answer 2

indrect -> through internal inguinal ring along inguinal canal through abdo wall. lateral to inferior epigastric vessels. children. 80%

direct -> directly through weakness in wall of canal. medial to inferior epigastric vessels. elderly. 20%

Question 3

imaging for hernia

Answer 3

USS

Question 4

when to treat an inguinal hernia

Answer 4

if symptomatic (mesh)

Question 5

types of hiatus hernia

Answer 5

sliding gastro oesoph junction slides superial into chest

rolling - GOJ remains in abdo cavity but bulge of stomach herniates

Question 6

what are hiatus hernias associated with

Answer 6

GORD
Barrett’s
oesophageal adenocarcinoma