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Groin Hernias

Most common hernia ? * Inguinal
Hernia wit the most complications ? * Femoral
Besides the typical risk factors, what are some different risk factors predisposing someone to a hernia, and a risk factor that is not related to increased incidence ? * Increased Incidence in: BMI <20 ..... * No correlation with Obesity
Congenital Hernias ? * Usu. kids...... * due to some congenital anomaly, like failure of the processus vaginalis to close
Acquired Hernias ? * Usu. adults...... * Alteration of otherwise normal tissue that leads to weakening or disruption of the fibromuscular tissues of the body wall ....... * can be due to pharm., pregnancy, intra-abdominal weakening
Indirect Inguinal Hernias ? * Most common in both sexes....... * Protrude through internal inguinal ring........ * Origin is lateral to inferior epigastric artery
Direct Inguinal Hernias ? * Protrude medial to the inferior epigastric vessels within Hasselbach’s Triangle...... *
Hasselbach’s Triangle = ? * Formed by inguinal ligament (Poupart’s ligament), inferior epigastric vessels and rectus abdominus muscle
Femoral Hernias ? * Least common type of groin hernia..... * Most common in women, even though inguinal is more common in women...... * 40% present as incarceration or strangulation – surgical emergencies..... *Inferior to inguinal ligament
Groin Hernias – Clinical Features ? * Bulge in the groin, with or without pain..... * Physical exam and ultrasound to evaluate mass..... * Emergent life-threatening presentation due to bowel strangulation
Incarceration = ? * Reduced lymphatic & venous flow
Strangulation = ? * Reduced arterial flow --> ischemia and necrosis
Created by: thamrick800