HTHSCI 1DT3 Lecture Notes - Lecture 14: Appendectomy, Pus, Femoral Canal
26 Dec 2020
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Document Summary
Protrusion of a viscus or part of a viscus through the walls of its containing cavity into an abnormal position. Sac can return to the abdominal cavity either spontaneously or c manipulation. Sac cannot be reduced despite pressure or manipulation. Blood supply of contents is compromised due to pressure at the neck of the hernia. Part of the sac is formed by bowel (e. g. caecum or sigmoid): take care when excising the sac. Strangulated portion may reside as a single loop inside the abdomen. Only part of circumference of bowel is within sac. ~4% of male neonates have hernia ( c prems) Commoner on r (?damage to ilioinguinal n. @ appendicectomy muscle weakness) Processus vaginalis should obliterate following descent of the testes. If it stays patent it may fill with. Same 3 coverings as cord and descend into the scrotum. Can acquire internal and external spermatic fascia. Lump in groin which may descend into scrotum.
