HTHSCI 1DT3 Lecture Notes - Lecture 13: Epithelium, Prevertebral Fascia, Ascites
26 Dec 2020
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Protrusion of viscus through the femoral canal. Femoral canal larger in females due to shape of pelvis and changes in its configuration due to childbirth. Neck inferior (and lateral) to the pubic tubercle. Low incision over hernia c herniotomy and herniorrhaphy (suture ing. ligt. to pectineal ligt. ) High approach in inguinal region to allow inspection and resection of non-viable bowel. Hernia arises through a previously acquired defect. Iap: chronic cough, straining, post-op ileus. Surgery is not appropriate for all patients. Must balance risk of operation and recurrence c risk of obstruction / strangulation and pt. choice. Usually broad-necked low risk of strangulation. Can recur in adults: pregnancy or gross ascites. Defect through linea alba just above or below. Mayo (double-breast linea alba c sutures) / mesh repair. Pea-sized swelling caused by defect in linea alba above the umbilicus. Hernia lies between layers of abdo wall. Palpable mass more likely to be colon ca.
