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Terms in this set (21)
Associated with obesity and ascites.
Pass through Linea Alba above the umbilicus.
Umbilical Hernia Rx
Repair of the rectus sheath.
Occurs through the Linea Semilunaris.
Inferior and lateral to umbilicus.
Inguinal Hernia (Indirect)
Internal inguinal ring and if large into the scrotum.
More common in Men.
80% of Inguinal Hernias.
More frequent in females.
Occurs through inferior and superior lumbar triangles of posterior abdominal wall.
Involves bowel wall only.
Herniating double loop of bowel.
Contains strangulated Meckel's diverticulum.
Pain is typically medial thigh of female.
Pass through lesser sciatic foramen.
GI obstruction and gluteal mass suggest this rare possibility.
Contain a partially extraperitoneal structure.
E.g Hiatus Hernia, caecm.
Herniation of nucleus pulposus.
Herniation of the uncus and hippocampal gyrus through the tentorial membrane.
Arnold Chiari Hernia
Herniation of the brainstem and cerebellum through the foramen magnum.
Herniation of the terminal portion of the ureter into the bladder.
Protrusion of the abdominal contents through a defect in the anterior abdominal wall to the right of the umbilicus.
Protruding bowel covered by a 'thin peel'.
Urgent repair needed.
4% associated with heart defects.
Abdominal contents found outside covered in a three-layer membrane consisting of peritoneum, Wharton's jelly and amnion.
Less urgent due to protective layer.
Associated with anecephaly, heart defects, hyrocephalous and spina bifida.
Congenital Inguinal Hernia
Indirect hernias resulting from a patent processus vaginalis
Occur in around 1% of term babies. More common in premature babies and boys
60% are right sided, 10% are bilaterally
Should be surgically repaired soon after diagnosis as at risk of incarceration
Infantile Umbilical Hernia
Symmetrical bulge under the umbilicus
More common in premature and Afro-Caribbean babies
The vast majority resolve without intervention before the age of 4-5 years
Complications are rare
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