-Hernias are defined as a protrusion, bulge or projection of an organ or part of an organ through a body wall that normally contains it
-Risk factors for hernias include: history of prior hernia repair, older age, male sex, caucasian race, chronic cough, chronic constipation, history of AAA, smoking, abdominal wall injury, and family history of hernia
-inguinal hernias are more common then femoral hernias
-groin hernias are classified by location and their etiology (congenital versus acquired)
-Indirect inguinal hernias are the most common type of hernias
-Indirect inguinal hernias protrude at the inguinal ring which is the side at which the spermatic cord in males and round ligament in females exit the abdomen
-Direct Inguinal Hernias protrude medial to the inferior epigastric vessels within Hesselbach's triangle
-Femoral hernias are located inferior to the inguinal ligament and protrude through the femoral ring
-Incarceration refers to trapping of the hernia and its contents within the hernia sac such that reducing them back into the abdomen and pelvis is not feasible
-Reduced lymphatic and venous flow leads to swelling of the incarcerated tissue, which can caused edema and eventually shut of arterial flow
-Shutting off arterial flow to the tissue during this process is referred to as strangulation
-The definitive treatment for all hernias are surgical repair
-Emergent repair is indicated for those who develop complications such as bowel obstruction, bowel perforation, strangulation, or incarceration
-Emergency surgery should be performed within 4-6 hours on hernias that are strangulated hernias
-For uncomplicated hernias repair should be whenever feasible
Can you tell me where this is located, age of patient and what the photo is showing? I can't tell if this is an adolescent male or that is part of the hernia to the far right.
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