Hernias

Question 1

Types of Hernia?

Answer 1

Question 2

Epidemiology of Hernia?

Answer 2

Question 3

Risk Factors for Hernia?

Answer 3

Question 4

Hernia Complications?

Answer 4

Question 5

Clinical Exam/Differentials for Hernia?

Answer 5

Question 6

Pathway of Direct vs. Indirect Hernia?

Borders of Hesselbach’s Triangle?

Answer 6

Question 7

Surgical Interventions for Inguinal Hernia?

Answer 7

Question 7

Epidemiology of Inguinal Hernias?

Answer 7

• Males are 20 times more commonly affected with inguinal hernias when compared to females.
• In adult males 65% of inguinal hernias are indirect and 55% are right-sided.
• In 12% of cases the hernia is bilateral.
• Direct hernias become more common as patients get older.

Question 7

Describe the Pain Ladder.

Answer 7

▪ Step 1: Simple analgesics e.g. aspirin, paracetamol, NSAIDs +/- adjuncts

▪ Step 2: weak opioids e.g. codeine, tramadol +/- adjuncts

▪ Step 3: strong opioids e.g. morphine, fentanyl +/- adjuncts

Question 7

Surgical Interventions for Femoral Hernia Repair?

Answer 7

Question 8

Describe Epigastric Hernias and their treatment.

Answer 8

Question 9

Describe Umbilical Hernias, epidemiology, and their treatment.

Answer 9

Question 10

Describe Paraumbilical Hernias, epidemiology, risk factors, and their treatment.

Answer 10

Question 11

Describe Incisional Hernia risk factors.

Answer 11

Question 12

Consent for Hernia Surgery?

General Risks

Specific Risks

Answer 12