Abdominal wall and hernia

CHAPTER 12 Abdominal wall and hernia




Herniae








Types of hernia



Inguinal hernia


This is the most common form of hernia. There are two types: indirect and direct.




Direct


This is acquired. The defect occurs in the abdominal wall, in Hesselbach’s triangle (bounded by the inguinal ligament inferiorly, the inferior epigastric artery laterally and the lateral border of rectus muscle medially). It is due to a weakness of the transversalis fascia in the posterior wall of the inguinal canal. It is often bilateral and occurs in the older patient and may be associated with obesity, cough, constipation, prostatism.


Both types may occur and straddle the inferior epigastric artery, the so-called ‘pantaloon’ hernia.




Treatment


Jun 14, 2017 | Posted by in GENERAL SURGERY | Comments Off on Abdominal wall and hernia

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