Types
Inguinal
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
Three options for elective inguinal hernia repair: open, laparoscopic, robotic
Elective surgical repair is associated with significantly lower morbidity and mortality.
Acute setting
Pai...
Groin (pediatric): low recurrence rates (<3%) with surgery; may spontaneously...
Berger D. Evidence-Based Hernia Treatment in Adults. Dtsch Arztebl Int. 2016;113(9): 150–158.
Pereira JA, López-Cano M, Hernández-Gra...
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
Indirect: conge...
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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>
<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...
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.