Groin Hernias
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| Most common hernia ? | * Inguinal
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| Hernia wit the most complications ? | * Femoral
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| 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
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| Congenital Hernias ? | * Usu. kids...... * due to some congenital anomaly, like failure of the processus vaginalis to close
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| 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
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| Indirect Inguinal Hernias ? | * Most common in both sexes....... * Protrude through internal inguinal ring........ * Origin is lateral to inferior epigastric artery
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| Direct Inguinal Hernias ? | * Protrude medial to the inferior epigastric vessels within Hasselbach’s Triangle...... *
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| Hasselbach’s Triangle = ? | * Formed by inguinal ligament (Poupart’s
ligament), inferior epigastric vessels and
rectus abdominus muscle
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| 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
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| 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
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| Incarceration = ? | * Reduced lymphatic & venous flow
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| Strangulation = ? | * Reduced arterial flow --> ischemia and necrosis
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