Podcast
Questions and Answers
An epigastric hernia is characterized by herniation through which anatomical structure?
An epigastric hernia is characterized by herniation through which anatomical structure?
- External oblique aponeurosis
- Arcuate line
- Linea alba (correct)
- Spigelian fascia
What percentage of patients with epigastric hernias present with multiple hernias?
What percentage of patients with epigastric hernias present with multiple hernias?
- 80%
- 50%
- 20% (correct)
- 5%
What other condition does an epigastric hernia frequently mimic?
What other condition does an epigastric hernia frequently mimic?
- Cholecystitis
- Peptic ulcer (correct)
- Diverticulitis
- Appendicitis
Which tissue type is excised in the treatment of an epigastric hernia?
Which tissue type is excised in the treatment of an epigastric hernia?
Through which anatomical structure does a Spigelian hernia occur?
Through which anatomical structure does a Spigelian hernia occur?
Which muscle is medial to the Spigelian Fascia?
Which muscle is medial to the Spigelian Fascia?
In an interparietal hernia, where does the hernia sac lie?
In an interparietal hernia, where does the hernia sac lie?
Which muscles are typically pierced in an interparietal hernia?
Which muscles are typically pierced in an interparietal hernia?
What imaging modalities are most useful in the diagnosis of interparietal hernias?
What imaging modalities are most useful in the diagnosis of interparietal hernias?
What does DASH tech refer to in hernia repair?
What does DASH tech refer to in hernia repair?
Flashcards
Epigastric hernia
Epigastric hernia
Herniation of extraperitoneal fat through the linea alba.
Symptoms of Epigastric Hernia
Symptoms of Epigastric Hernia
Small, pain and tenderness referred to the epigastrium mimicking a peptic ulcer.
Epigastric Hernia Treatment
Epigastric Hernia Treatment
Excision of preperitoneal tissue and closure of the defect.
Spigelian hernia
Spigelian hernia
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Interparietal hernia
Interparietal hernia
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Diagnosis of Interparietal Hernia
Diagnosis of Interparietal Hernia
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Treatment of Interparietal Hernia
Treatment of Interparietal Hernia
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DASH Tech
DASH Tech
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Study Notes
- Epigastric hernia is also known as epigastric lipoma or fatty hernia of linea alba
- It involves herniation of extraperitoneal fat through the linea alba.
- Small pain and tenderness are common symptoms
- Pain is often referred to the epigastrium
- Can mimic a peptic ulcer
- Multiple in 20% of patients
- Midline in 80% of patients
- Treatment involves excision of preperitoneal tissue and closure of the defect
Spigelian Hernia
- Occurs through the spigelian fascia
- Medially, the rectus muscle
- Laterally, the semilunar line
- Located at or below the arcuate line
Interparietal Hernia
- The sac lies behind the external oblique aponeurosis
- Herniated through 2 muscles: the internal oblique (IO) and external oblique (EO).
- Localized pain and tenderness occur
- Diagnosis using USG or CT scans
- Treatment is operative closure of the fascial defect
- DASH technique involves intraoperative localization of the hernia prior to induction
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