Chronic obstructive pulmonary disease COPD Ascites Ventriculoperitoneal shunt Indirect Inguinal Hernias Indirect inguinal hernias are congenital hernias and are much more common in males than females because of the way males develop in the womb. In a male fetus, the spermatic cord and both testicles-starting from an intra-abdominal location-normally descend through the inguinal canal into the scrotum, the sac that holds the testicles.
Mr - Case Report: Strain, a year-old man, who while trying to show his wife how strong he was, strained to pick up a particularly heavy coffee table. He suddenly felt a sharp pain in his right groin. Later, he noticed that a painful bulge had developed in his groin which disappeared when he was on his back.
After several months, the pain and the bulge in his groin increased and he finally agreed to see a physician. On exam, you observe a swelling which begins about midway between the anterior superior iliac spine and the midline, progresses medially for about 4 cm, and then turns toward the scrotum.
Protrusion of any viscus from its normal cavity through an abnormal opening. Hernias may be described as: Reducible Contents easily put back Irreducible Contents cannot be put back Strangulated Contents are stuck, and there is constriction of the tissues at the neck of the hernia, leading to reduced venous drainage and arterial occlusion Types of abdominal wall ernias Description Strangulation Risk IncisionalThrough an area weakened by prior surgery.
Low UmbilicalCongenital defect of the abdominal wall seen in infants Low as a swelling at the umbilicus. Paraumbilical Acquired defect above or below the umbilicus.
High Femoral Herniation through the femoral canal which appears belowHigh and lateral to the pubic tubercle. More common in women than men. We will write a custom essay sample on Case Report: As age of patient increases, so does incidence of acquired direct hernias.
Presents within first 6 mths with an asymptomatic groin mass or more acutely with abdominal pain and vomiting due to incarceration.
More common in boys, premature infants and on the right. An incarcerated inguinal hernia is the commonest cause of intestinal obstruction from the 1st week to the 5th month of life This ILM will focus on indirect and direct inguinal hernias.
This point is midway between pubic tubercle and ipsilateral anterior superior iliac spine. An Atlas of Anatomy and Repair. Philadelphia, WB Saunders, The hernia develops at the internal ring, which is the site where the spermatic cord in males or the round ligament in females exits the abdomen.
The origin is lateral to the inferior epigastric artery, in contrast to direct hernias which arise medially to the inferior epigastric vessels. Sac of peritoneum coming through internal ring, antero-medial to the spermatic cord or round ligament through which omentum or bowel can enter.
Herniates lateral to inferior epigastric artery. May stay in canal, exit ring, and even enter scrotum. Usually congenital though may not become apparent until later in life. During embryologic development, the spermatic cord and testis in men or the round ligament in women migrate from the retroperitoneum through the anterior abdominal wall to the inguinal canal along with a projection of peritoneum processus vaginalis.
The internal ring normally closes following the migration of the testicle into the canal and then into the scrotum. Failure to close provides the necessary defect an area of potential weakness through which an indirect inguinal hernia may form.
Prematurity and low birth weight are risk factors. Soft swelling in area of internal ring; pain on straining; hernia comes down canal and touches fingertip on examination. Acquired defect in transversus abdominis muscle; bulging as a result of weakness of the posterior floor of the inguinal canal, anywhere from the internal ring to the pubic bone.
Straining to urinate or defecate, coughing, and heavy lifting have been implicated as causative factors, leading to trauma and weakening of the inguinal floor.
Usually at low but not zero risk for incarceration or strangulation. Bulge in area of Hesselbach triangle; usually painless; easily reduced; hernia bulges anteriorly, pushes against side of finger on examination. Quiz yourself 1 What abdominal wall layers must be incised at the pubic hairline near the midline in order to access the abdominal cavity?
What caused the bulge in Mr. What body layers would surround it as it proceeded into the scrotum and what abdominal layers are they derived from?Types Direct Inguinal Hernias.
Direct inguinal hernias are caused by connective tissue degeneration of the abdominal muscles, which causes weakening of the muscles during the adult years.
Direct inguinal hernias occur only in males. The hernia involves fat or the small intestine sliding through the weak muscles into the groin. Types of abdominal wall hernias Description Strangulation Risk them about it and find out their opsand then write a report for me?
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2. Writing is a two-way process. For. Case Report: Inguinal Hernias Essay. Inguinal Hernias Case: Mr - Case Report: Inguinal Hernias Essay introduction. Strain, a year-old man, who while trying to show his wife how strong he was, strained to pick up a particularly heavy coffee table.
5 Types of Hernias and Their Treatments. May 7th Anyone experiencing a hernia must see a doctor to assess treatment options. Surgery is typically required when an obstruction or strangulation of the intestine occurs or is likely, but hernias with little to no symptoms may need no treatment at all.
An inguinal hernia, which appears as. Femoral hernias are most common in women, especially those who are pregnant or obese. In an umbilical hernia, part of the small intestine passes through the abdominal wall near the navel. Hernia repairs are common—more than one million hernia repairs are performed each year in the U.S.
Approximately , are to repair inguinal hernias and the rest are for other types of hernias.