Question | Answer |
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 |