Direct: acquired; herniation through defect in transversalis fascia of abdominal ...
May observe protrusion through abdominal wall during increased intra-abdominal pressure (Valsalva maneuver or cough)
Pain, nausea, vomiting, bloating; relieved with reclining; may sign...
Elective surgical repair is associated with significantly lower morbidity and mortality.
Pain management for symptomatic hernias
Strangulated hernias should be surgically ...
Groin (pediatric): low recurrence rates (<3%) with surgery; may spontaneously...
Pereira JA, López-Cano M, Hernández-Granados P, et al. Initial results of the National Registry of Incisional Hernia. Cir Esp. 2016;94(10):595–602. [View Abstract on OvidMedli...
K46.9 Unspecified abdominal hernia without obstruction or gangrene
K40.90 Unil inguinal hernia, w/o obst or gangr, not spcf as recur
K41.90 Unil femoral hernia, w/o obst or gangrene, not spcf...
Inguinal hernias are either direct or indirect:
Direct: acquired herniation through defect in transversalis fascia of abdominal wall medial to inferior epigastric vessels
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Figure 43.1. Indirect inguinal hernia.
Figure 43.2. Direct inguinal hernia.
FIG. 9.4. This infant has a large left inguinal hernia, seen as a bulge in the inguinal canal and a swelling of the left hemiscrotum.
<bold><italic>Figure 15-3</bold> Causes of mechanical bowel obstruction.</bold>
FIGURE 12-8. Intestinal obstruction. (A) Intussusception. (B) Volvulus, showing counterclockwise twist.
<bold>FIGURE 73.18</bold> Computed tomogram showing a left-sided inguinal hernia.
<bold><italic>Figure 15-4</bold> Incarcerated inguinal hernia.</bold> The bowel is trapped (incarcerated) in the scrotum, but it is not necrotic (strangulated).
<bold><italic>Figure 15-4</bold> Incarcerated inguinal hernia.</bold> The bowel is trapped (incarcerated) in the s...