Carolinas hernia handbook 3 inguinal and femoral hernias overview the condition an inguinal or femoral hernia is an area of muscular weakness or a hole in the lower abdomen or groin through which a persons intestines can protrude. Hernia inguinal indireta e a mais comum em ambos os sexos 23. The hernia passes directly forward through the defect in posterior wall fascia transversalis of the inguinal canal. Inguinal hernias were classified according to the condition of the protruded viscera into reducible, irreducible, or strangulated. These hernias are very common, can cause symptoms of discomfort or other issues, or be perceived as a bulge. Inguinal hernias are more common in certain age groups. Femoral hernias often require emergency surgery because of incarceration or strangulation of the intestine. The most common type of hernia is the inguinal hernia, which occurs when a part of the bowel or fatty tissue squeezes through the abdominal wall into the groin area. Ppt inguinal hernia powerpoint presentation free to. Clinical presentation and diagnosis inguinal hernias. Symptoms are present in about 66% of affected people. Anatomy, abdomen and pelvis, inguinal region inguinal canal. An inguinal hernia occurs in the abdomen near the groin area.
Ppt femoral hernia powerpoint presentation free to. View and download powerpoint presentations on inguinal hernia ppt. Nov 27, 2015 indirect inguinal hernia can occur in any age from childhood to adult occurs in a preexisting sac protrusion through the deep ring pyriformoval in shape. Abd wall hernias university of tennessee college of medicine. It may also pass through the superficial inguinal ring into the scrotuman.
If no bulge is detected with a valsalva maneuver, a hernia is unlikely. Anatomic considerations the inguinal region must be understood with regard to its threedimensional configuration a knowledge of the convergence of tissue planes is essential if repairing the hernia. An inguinal hernia can occur any time from infancy to adulthood and is much more common in males than females. The etiology of classic inguinal hernia, sportsmans hernia or traumatic hernia may be different.
An indirect inguinal hernia is a hernia emerging through the deep inguinal ring, originating lateral to the inferior epigastric vessels, following the path of the spermatic cord, and which can traverse the whole length of the inguinal canal see fig. Hernias and intraperitoneal abscess powerpoint presentation. An incarcerated hernia is caused by swelling and can lead to a strangulated hernia, in which the blood supply to the incarcerated small intestine is jeopardized. Indirect inguinal hernia an indirect inguinal hernia occurs when any intraabdominal structure protrudes through the deep inguinal ring entering the inguinal canal. Find powerpoint presentations and slides using the power of, find free presentations research about hernia ppt. Ppt inguinal hernias powerpoint presentation, free. Symptoms of an inguinal hernia usually appear gradually and include a bulge in the groin, discomfort or sharp pain, a. About 75% of all hernias happen in the inguinal region 90%.
The hernia doesnt typically run down along side the cord to the scrotum, but may do so. Ppt inguinal hernia powerpoint presentation free to download id. Among adults, the chance of having an inguinal hernia increases. The processus vaginalis must be patent for this type of hernia to occur. If a protrusion is present and noticeable the hernia may be reducible. Dec 26, 2016 inguinal hernia indirect inguinal hernia is an inherent injury occurs when entrail, omentum or other stomach organs juts through the stomach ring inside a patent processus vaginalis if the processus vaginalis does not stay patent a backhanded hernia can\t grow most regular sort of hernia. The operation is usually recommended if you have a hernia that causes pain, severe or persistent symptoms, or if any serious complications develop. Approximately 70% of femoral hernia repairs are performed in women. Ppt inguinal hernias powerpoint presentation, free download id.
Femoral hernia femoral hernia significance femoral hernias compromise about 6% of hernias. Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. They develop when fatty or intestinal tissues push through a weakness in the abdominal wall near the right or left inguinal canal. An indirect inguinal hernia is a congenital lesion. Ppt abdominal hernias powerpoint presentation free to. Some hernias can be massaged back into the inguinal canal, and a truss can be worn to reduce pain. Scribd is the worlds largest social reading and publishing site. Inguinal hernias are more common in standardbred and tennessee walking horses that tend to have congenitally large inguinal canals. Meckel diverticulum as the sole component of the hernia sac. An inguinal hernia is a condition in which intraabdominal fat or part of the small intestine, also called the small bowel, bulges through a weak area in the lower abdominal. Inguinal hernia national digestive diseases information clearinghouse u. This type of hernia may occur at any age but becomes more common as. It is estimated that 700,000 hernia operations are performed in the united states each year 1.
Inguinoscrotal lumps murtaghs general practice, 6e. They are the most common type of hernia and account for 75% of all. Since this should correlate to recurrence after inguinal hernia repair, recurrence rates in the usa may be higher than previously. Which mesh for which hernia dr john thanakumar mbbs vellore, ms vel, mnams vel, frcs, frcs, dip mis, fals chairman, anurgag hospital coimbatore. View and download powerpoint presentations on hernia ppt. A free powerpoint ppt presentation displayed as a flash slide show on id. The adobe flash plugin is needed to view this content. Little is known about the epidemiology of inguinal hernia in resource poor settings, however the prevalence of inguinal hernia in tanzanian adults is 5. The term hernia is derived from the greek word hernios, which means budding. An inguinal hernia occurs when abdominal cavity contents enter into the inguinal canal. Researchers estimate that about 27 percent of men and 3 percent of women will develop an inguinal hernia at some point in their lives. However, if the hernia is reduced it may not be possible to observe.
Ppt hernia powerpoint presentation free to download. An inguinal hernia is a protrusion of abdominalcavity contents through the inguinal canal. If your institution subscribes to this resource, and you dont have a myaccess profile, please contact your librarys reference desk for information on how to. Two types of inguinal hernias indirect inguinal hernia and direct inguinal hernia. The hernia repair is performed in agreement with a classification of the hernia, e. Ppt inguinal canal powerpoint presentation free to. Department of health and human services national institutes of health. As the neck of sac is wide, the direct inguinal hernias do not strangulate or. Inguinal hernias can be repaired using surgery to push the bulge back into place and strengthen the weakness in the abdominal wall. S assistant professor, dept of general surgery, psgimsr.
Sometimes the hernial sac may protrude into the scrotum. If your hernia is small your doctor may recommend monitoring it before any other treatment. Complications that can develop as a result of an inguinal hernia. This pathway normally closes before birth but remains a possible place for a hernia. Ppt hernia powerpoint presentation free to download id. Lichtenstein technique of inguinal hernia repair, which performed with tensionfree approach by mesh placing and fixation to the surrounding tissues, is currently the treatment of choice for open surgery repair. The proportion of inguinal hernia repairs performed for recurrence has remained relatively constant in the united states between 2005 and 2015 using both a national and large institutional database. An inguinal hernia can present with the following signs and symptoms. The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. Inguinal hernias occur when bowel tissue or fatty tissue protrudes into the groin area at the top of the thigh. Congenital or acquired defect in the abdominal wall herniorrhaphy is one of the most commonly performed operations in all. Inguinal hernia makes up 75 of all abdominal wall hernias and occurring up to 25 times more often in men than women. Laparoscopic inguinal hernia repair accessmedicine. Ppt inguinal hernias powerpoint presentation, free download.
Ppt inguinal hernia powerpoint presentation, free download id. To determine this the patient is asked to recline, which may reduce the hernia but it may require manual replacement by applying pressure over the deep inguinal ring whilst asking the patient to cough. In addition, intestinal resection may need to be considered based on intestinal viability. Dec 18, 2017 an inguinal hernia occurs in the abdomen near the groin area.
Inguinal hernia direct inguinal hernia proceeds directly through the posterior inguinal wall direct hernias protrude medial to the inferior epigastric vessels and are not associated with the processus vaginalis they are generally believed to be acquired lesions usually occur in older males as a result of pressure and tension. Find powerpoint presentations and slides using the power of, find free presentations research about inguinal hernia ppt. Femoral hernia femoral herniasignificance femoral hernias compromise about 6% of hernias. Direct and indirect hernias are the two types of inguinal hernia, and they have different causes. Until the 1980s, the most common repairs were anatomic and tissue based. Hernia protrusion of visceral contents through the abdominal wall. Direct hernia do not often attain a large size or descend into scrotum in contrast to indirect inguinal hernia, direct inguinal hernia lies behind the spermatic cord the sac is often smaller than mass, the protruding mass consist of the extraperitoneal fat. Inguinal hernia ppt medical specialties wellness scribd. There is an emphasis on the ring hernia due to the large number of intestines that. Surgeons of the 18th and early 19th century spoke of an inverse risk between the size of the hernia and its seriousness. The nature of the hernia direct versus indirect is. These hernias make up 75% of all abdominal hernias and mainly affect men 5. The inferior epigastric artery lies lateral to the neck. This may include pain or discomfort especially with coughing, exercise, or bowel movements.
Femoral hernia is a kind of ventral hernia that surgeons commonly encounter, second in frequency only to inguinal hernia. The direct inguinal hernia sac lies behind the cord. A powerpoint presentation on inguinal anatomy and hernias. Hernias have been documented throughout history with varying success at either reduction or. Surgical management of inguinal hernia advances in surgery. Inguinal hernia ppt free download as powerpoint presentation. An incarcerated inguinal hernia is a hernia that becomes stuck in the groin or scrotum and cannot be massaged back into the abdomen. Inguinal hernia repair has been one of the most common operations performed by general surgeons for years. Normal anatomy inguinal canal is a 3d cylinder between the deep and superficial inguinal rings superior wall fibres of internal oblique and transversus. Inguinal hernia a hernia is the protrusion of part of the abdominal contents. If you suspect you have an inguinal hernia, you should see your doctor right away. During inguinal hernia surgery, great care is required to prevent damage to the two nerves as it can lead. These types of repairs were fraught with high recurrence rates, anywhere between 1% and 15% to 20% depending on the.