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2010-07-14 #1.5

Hernias

QuestionAnswer
MC hernia in women femoral
bulge below inguinal ligament; hihgest rate of incarcerations of small bowel femoral
Hesselbach's trinagle inferior epigastric artery; lateral border of rectus abdominis; inguinal ligament(Poupart's)
MC hernia in adults with ascites, pregnancy, obesity; MC hernia in black newborns umbilical hernia
pertioneal protrusion into fascial defect containing remnants of umbilical cord; spontaenous closure by 2nd year umbilical hernia
MCC of ventral hernia; risk factor obesity; hernia develops in weakend area of previous surgical excision
MC hernia overall indirect inguinal hernia
persistence of peritoneal connection between inguinal canal & tunica vagilanis in children: Dx? indirect inguinal hernia
protusion of new peritoneal process into inguinal canal: Dx? indirect inguinal hernia
hernia through internal (deep) inguinal ring; external (superficial) inguinal ring; into the scrotum; enters internal inguinal ring lateral to inferior epigastric a.; covered by all 3 layers Dx? indirect inguinal hernia; MDs don't LIe: Medial to inferior epigastric = Direct/ Lateral to inferior epigastric = Indirect
protusion through the inguinal triangle; bulges directly through abdominal wall medial to IEA; through the superficial external inguinal ring only: Dx? cover? epidemiology direct inguinal hernia; covered by external spermatic fascia
bulges disappear when patient reclines: Dx? direct inguinal hernia
Created by: mataos