RT Book, Section
A1 Doherty, Gerard M.
SR Print(0)
ID 58114562
T1 Inguinal Hernia
T2 Quick Answers Surgery
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 
LK accesssurgery.mhmedical.com/content.aspx?aid=58114562
RD 2024/04/23
AB •  Groin  bulge  elicited  with  the  Valsalva  maneuver•  Types  of  inguinal  hernias-Indirect:  Patent  processus  vaginalis  extension  lateral  to  the  inferior  epigastrics  in  the  anterior-medial  position  of  the  spermatic  cord-Direct:  Developed  weakness  in  the  abdominal  wall  located  at  Hesselbach  triangle  (inguinal  ligament  inferiorly,  lateral  edge  of  the  rectus  medially,  and  the  inferior  epigastric  vessels  superior-laterally)-Pantaloon  hernia  is  a  combined  direct  and  indirect  inguinal  hernia•  Classification  of  hernias-Reducible:  Visceral  contents  of  the  hernia  sac  able  to  retract  into  the  abdominal  cavity-Incarcerated:  Visceral  contents  cannot  be  returned  to  the  abdominal  cavity-Strangulated:  Incarcerated  inguinal  hernia  where  the  blood  flow  to  the  entrapped  viscera  is  compromised-Sliding:  Abdominal  viscera  present  in  hernia  sac;  on  the  left,  most  commonly  the  sigmoid  colon  and  bladder,  and  on  the  right,  most  commonly  the  cecum  and  bladder