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Y4R8 - Surgery III👨‍⚕️ > L1: Hernia - Pt 7 > Flashcards

L1: Hernia - Pt 7 Flashcards

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1
Q

Inciedence of Adult Umbilical Hernia

A
  • Usually in fatty multiparous females
  • It is the commonest hernia in the region of the umbilicus in adults
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2
Q

Etiology f Adult Umbilical Hernia

A
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3
Q

Pathology of Adult Umbilical Hernia

A
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4
Q

Structure of Adult Umbilical Hernia

  • defect
A
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5
Q

Structure of Adult Umbilical Hernia

  • Sac
A
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6
Q

Structure of Adult Umbilical Hernia

  • Contents
A
  • Usually: Omentum or Intestine.
  • Rarely: Colon.
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7
Q

Structure of Adult Umbilical Hernia

  • Coverings
A

Skin & S.C. fat.

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8
Q

CP of Adult Umbilical Hernia

A
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9
Q

CP of Adult Umbilical Hernia

  • Pain
A

Pain is common, due to:
1. Intestinal obstruction, or
2. Dragging by large hernia

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10
Q

CP of Adult Umbilical Hernia

  • Shape
A
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11
Q

TTT of Adult Umbilical Hernia

A
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12
Q

TTT of Adult Umbilical Hernia

  • Truss??
A

Truss is Contraindicated & Treatment is Only Surgical.

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13
Q

TTT of Adult Umbilical Hernia

  • Surgery
A
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14
Q

Surgery in Adult Umbilical Hernia

  • Technique
A
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15
Q

Surgery in Adult Umbilical Hernia

  • Approach
A

A. Nowadays, it is usually performed by laparoscopic approach.

B. or less commonly by open approach.

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16
Q

Another Name of Divarication of Recti

A

Diastasis Recti

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17
Q

Def of Divarication of Recti

A
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18
Q

CP of Divarication of Recti

A
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19
Q

TTT of Divarication of Recti

A
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20
Q

Incidence of Divarication of Recti

A
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21
Q

Def of Epigastric Hernia

A
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22
Q

Etiology of Epigastric Hernia

A
  • Sudden strain tearing the interlacing fibers of linea alba with appearance of narrow sharp defect
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23
Q

Complications of Epigastric Hernia

A

therefore complications are very common.

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24
Q

Types of Epigastric Hernia

A
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25
CP of **Epigastric Hernia**
26
TTT of **Epigastric Hernia**
27
Etiology of **Recurrent Hernia**
28
Etiology of **Recurrent Hernia** - Pre-Operative
29
Etiology of **Recurrent Hernia** - Operative
30
Etiology of **Recurrent Hernia** - Post-Operative
31
CP of **Recurrent Hernia**
32
TTT of **Recurrent Hernia**
After removal of the cause → Hernioplasty by synthetic polypropylene mesh should be done.
33
Def of **Incisional Hernia**
It is a hernia in a scar of previous operation.
34
Etiology of **Incisional Hernia**
35
Etiology of **Incisional Hernia** - Pre-operative
36
Etiology of **Incisional Hernia** - Operative
37
Etiology of **Incisional Hernia** - Post-Operative
1. Post-operation cough, chest complications and distension 2. Post-operative wound infection.
38
CP of **Incisional Hernia**
39
Complications of **Incisional Hernia**
Common if neck of the sac is narrow.
40
TTT of **Incisional Hernia**
41
Rare Types of **External Hernia**
- Sliding Hernia - Pantaloon Hernia - Interparietal Hernia - Spigelian Hernia - Lumbar Hernia - Obturatr Hernia - Gluteal Hernia - Sciatic Hernia - Phantom Hernia
42
Def of **Sliding Hernia**
- A viscus (caecum, bladder or ovary) slides extraperitoneally beside the sac through the wide hernial defect.
43
Other Name of **Sliding Hernia**
Hernia-En-Glissade.
44
CP of **Sliding Hernia**
- The condition is suspected in large partially reducible oblique inguinal hernia in obese elderly male
45
TTT of **Sliding Hernia**
46
Def of **Pantaloon Hernia**
- Patient has 2 hernial sacs, one of oblique inguinal hernia and another for direct inguinal hernia, separated by inferior epigastric vessels
47
Other Names of **Pantaloon Hernia**
Romberg's hernia - saddle bag hernia
48
CP of **Pantaloon Hernia**
Ipsilateral, concurrent direct and indirect inguinal hernias
49
TTT of **Pantaloon Hernia**
- Pulling on the neck of the oblique sac, the direct sac is pulled lateral to the inferior epigastric vessels converting the 2 sacs into one, which is transfixed & excised
50
Def of **Interparital Hernia**
- A sac of oblique inguinal hernia or part of it passes between layers of anterior abdominal wall.
51
CP of **Interparital Hernia**
A large partially reducible oblique inguinal hernia.
52
INVx for **Interparital Hernia**
Ultrasound is diagnostic
53
Def of **Spigelean Hernia**
54
TTT of **Interparital Hernia**
- Surgery as soon as possible because complications are very common. - By synthetic mesh hernioplasty
55
CP of **Spigelean Hernia**
56
Complications of **Spigelean Hernia**
Complications may be the first manifestation
57
Site & Boundaries of **Inferior lumbar hernia**
57
Types of **Lumbar Hernia**
58
Incidence of **Inferior lumbar hernia**
The Commonest lumbar Hernia
59
Site & Boundaries of **Superior lumbar hernia**
60
Incisional lumbar hernia
Following renal operation
61
Pathology in **Obturator Hernia**
Passes through the obturator canal.
62
Incidence of **Obturator Hernia**
More common in women.
63
CP of **Obturator Hernia**
The swelling is liable to be overlooked because it is covered by pectineus
64
DDx of **Obturator Hernia**
Femoral hernia.
65
Gluteal Hernia
Passes through the greater sciatic foramen.
66
Sciatic Hernia
Passes through the lesser sciatic foramen.
67
Phantom Hernia
- A local abdominal bulge due to muscular weakness or paralysis of abdominal muscles due to injury of their nerve supply.

Y4R8 - Surgery III👨‍⚕️ (28 decks)

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