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Hernias
Characteristics of different hernias
5
Medical
Graduate
07/02/2012

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Term
Indirect Inguinal Hernia
Definition
lies lateral to the inferior epigastric artery of Hesselbach's triangle, which is an anatomical triangle formed by the inguinal ligament inferiorly, inferior epigastric vessels laterally, and the lateral border of the rectus abdominis muscles medially. This type of hernia follows the path of the descent of the testes, through an impropery-patent processus vaginalis, thus a hernia that extends into the scrotum via the deep(internal) inguinal ring. Occurs in infants owing to failure of processus vaginalis to close (can form hydrocele). Much more common in Males
Term
Femoral Hernia
Definition

most commonly occurs in women and does not travel into the inguinal canal, but instead the hernia occurs through the femoral canal located inferior and lateral to the pubic tubercle. This type of hernia is the leading cause of bowel incarceration.


Term
Ventral Abdominal Hernia
Definition
a hernia through weakened rectus abdominis muscles along the midline of the abdomen. This hernia typically occurs above the umbilicus, is midline in location, and can vary drastically in size. It may also be called an incisional hernia, since it most often occurs due to weakening of the abdominal muscles from previous abdominal surgery. The hernia does not extend or travel into any major structures and is limited to the abdominal musculature
Term
Direct Inguinal Hernia
Definition
protrudes directly through the abdominal wall specifically through the Hesselbach triangle lying medial to the inferior epigastric vessels, Goes through the external (superficial) inguinal ring. This type of hernia is more common among men especially 40 years and older
Term
Hiatal Hernia
Definition
occurs when the gastroesophageal (GE) junction of the stomach is displaced above the level of the diaphragmatic hiatus. This type of hernia is the most common cause of gastroesophageal reflux disease seen in the United States
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