Signs of Strangulation in Hernia Patients
29 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which structure forms the anterior wall of the inguinal canal?

  • Spermatic cord
  • Deep inguinal ring
  • Conjoint tendon
  • External oblique aponeurosis (correct)

    • Where do the inferior epigastric vessels lie in relation to the deep ring of the inguinal canal?

  • At the medial edge (correct)
  • Below the deep ring
  • Above the deep ring
  • At the lateral edge

    • What is transmitted through the inguinal canal in females?

  • Spermatic cord
  • Conjoint tendon
  • Round ligament (correct)
  • Deep inguinal ring

    • Which nerve lies in the spermatic cord within the inguinal canal?

    <p>Ilio-inguinal nerve</p> Signup and view all the answers

    What forms when a portion of peritoneum is dragged with the testis during its descent to the scrotum?

    <p>Tunica vaginalis</p> Signup and view all the answers

    What may persist if the processus vaginalis does not completely obliterate during development?

    <p>Hernia-hydrocele complex</p> Signup and view all the answers

    What is a hernia?

    <p>A protrusion of a viscus or part of a viscus into an abnormal position</p> Signup and view all the answers

    What is a Richter's hernia?

    <p>A hernia where only part of the bowel circumference is caught in the sac</p> Signup and view all the answers

    What is the typical complaint of a patient with an external hernia?

    <p>Swelling that increases with exercise</p> Signup and view all the answers

    When are hernias said to be reducible?

    <p>When the contents spontaneously return to the abdomen</p> Signup and view all the answers

    What is a common cause of acquired hernias?

    <p>Obesity</p> Signup and view all the answers

    What is the recommended treatment for an umbilical hernia according to the text?

    <p>Advise for surgical operation</p> Signup and view all the answers

    What type of hernia is seen in older children around the umbilicus?

    <p>Para-umbilical hernia</p> Signup and view all the answers

    What occurs in a true umbilical hernia?

    <p>Seen in infants due to congenital weakness</p> Signup and view all the answers

    In which patients is a para-umbilical hernia often found?

    <p>Overweight middle-aged females</p> Signup and view all the answers

    What should be done if a strangulated femoral hernia is detected?

    <p>Operate urgently</p> Signup and view all the answers

    What is the midline defect repaired by when treating an umbilical hernia in infants?

    <p>With 2-3 sutures</p> Signup and view all the answers

    What are some signs of strangulation in a patient with a hernia?

    <p>All of the above</p> Signup and view all the answers

    What is the essential treatment for strangulation in a patient with a hernia?

    <p>Emergency operation</p> Signup and view all the answers

    How can gangrenous bowel be identified during surgery?

    <p>It is purple and flaccid, loses its sheen, and does not exhibit peristalsis</p> Signup and view all the answers

    What should be done after releasing the constricting ring during hernia surgery?

    <p>Assess the bowel viability after allowing it to rest under warm, moist towels</p> Signup and view all the answers

    What imaging technique may show dilated bowel and air/fluid levels in a patient with suspected intestinal obstruction?

    <p>Abdominal X-ray</p> Signup and view all the answers

    Which of the following is not a sign of strangulation in a patient with a hernia?

    <p>Increased bowel sounds</p> Signup and view all the answers

    What is advised for an adult with a congenital indirect sac hernia?

    <p>Perform a prophylactic posterior wall repair</p> Signup and view all the answers

    Why is it recommended to perform a prophylactic posterior wall repair in adults with hernias?

    <p>To strengthen the medial part of the posterior wall of the canal</p> Signup and view all the answers

    Where does the femoral hernia sac lie?

    <p>In the proximal part of the femoral canal</p> Signup and view all the answers

    What is the function of the femoral canal?

    <p>To allow expansion of the vein during increased blood flow from the leg</p> Signup and view all the answers

    Why are femoral hernias more common in women than in men?

    <p>Due to anatomical differences and structures around the femoral ring</p> Signup and view all the answers

    How are femoral hernias usually treated?

    <p>Surgically through dissection of the sac, emptying, and amputation</p> Signup and view all the answers

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser