Session 3 - Part II Flashcards

1
Q

Define Hernia

A

Protrusion of abdominal contents through the abdominal wall

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2
Q

What are the 4 sites you could have a hernia?

A

Inguinal
Femoral
Umbilical
Epigastric

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3
Q

What can help prevent hernias?

A

Transversalis fascia

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4
Q

Where do indirect inguinal ligaments travel?

A

Through the inguinal canal and deep ring

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5
Q

Where do direct inguinal ligaments travel?

A

Through the weak Hesslebach’s triangle

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6
Q

What are some of the properties of direct inguinal ligaments?

A

Rarely strangulate

Bilateral

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7
Q

What is important to remember with femoral hernias?

A

They are at risk of strangulation because the space they pass into is very small

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8
Q

Where do femoral hernias occur?

A

In the femoral canal below the inguinal ligament

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9
Q

What can a femoral hernia commonly be mistaken as?

A

An englarged lymph node

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10
Q

What is a risk associated with umbilical hernias?

A

Strangulation

Generally don’t operate on unless neccessary

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11
Q

What is a Richter’s Hernia?

A

Part of the bowel is strangulated, but the bowel is not obstructed because not all of it is trapped

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12
Q

Where do Spigelian hernias occur?

A

At the arcuate line due to the lack of posterior sheath here

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13
Q

Define strangulated

A

The blood supply is cut off (Can lead to venous congestion then arterial blood being blocked = necrosis)

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14
Q

Define incarcerated

A

The bowel is stuck

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15
Q

What are incisional hernias?

A

A hernia occurs where there has been a surgeon’s incision, can be very painful and strangulate.

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16
Q

What is the mid point inguinal ligament?

A

Half way between ASIS and pubic tubercle

The femoral pulse can be palpated here

17
Q

What is the mid inguinal point?

A

Half way between ASIS and pubic symphisis

The femoral ring can be found here