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ABDOMINAL WALL   HERNIAS
1.GENERAL CONSIDERATIONS
DEFINITION: ,[object Object],[object Object]
 
 
Inguinal hernias ,[object Object],[object Object],[object Object]
All Kinds of Hernias:
 
 
ETIOLOGY: ,[object Object],[object Object],A balloon with a protrusion
Clinical classification  ,[object Object],[object Object]
Hernia:
Sliding hernia:   ,[object Object]
Incarcerated hernia : ,[object Object],[object Object]
Strangulated hernia: ,[object Object],[object Object]
Special types of hernias ,[object Object],[object Object]
Pathological anatomy: ,[object Object]
Different parts of a hernia:
INGUINAL HERNIAS
Anatomical layers of inguinal region ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Internal oblique abdominal muscle and transverse abdominal muscle: ,[object Object],[object Object],[object Object]
Transvers abdominal fascia: ,[object Object]
The anatomy of the groin:
 
 
 
Inguinal canal: ,[object Object],[object Object],[object Object]
 
 
The four walls of the inguinal canal ,[object Object],[object Object]
[object Object]
[object Object],[object Object]
Inguinal canal, showing arrangement of (1)external oblique muscle, (2)internal oblique muscle, (3)transversus muscle, (4)fascia transversalis.
(1)the external oblique abdominal muscle (2)the internal oblique abdominal (3)the transverse abdominal muscle (4)testicular veins (5)the efferent duct of the testes (6)the iliac vessels (7)the inferior epigastic artery and vein (8)the aponeurosis of the transverse abdominal muscle and the   transversalis fascia (9)the public tubercle
Spermatic cord: ,[object Object],[object Object]
Nerves of inguinal region: ,[object Object],[object Object]
Inguinal triangle: ,[object Object]
[object Object],[object Object],[object Object]
Pathological mechanism: ,[object Object]
Indirect inguinal hernia: ,[object Object],[object Object]
[object Object]
[object Object]
 
 
Direct inguinal hernia: ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Conclusions of indirect and direct hernia: ,[object Object],[object Object]
[object Object],[object Object]
[object Object]
 
Clinical manifestations: ,[object Object]
[object Object],[object Object]
Differences of two kinds of hernia ,[object Object],[object Object],[object Object]
[object Object]
Methods of examination: ,[object Object],[object Object],[object Object]
[object Object]
[object Object]
Incarcerated or strangulated hernia : ,[object Object]
[object Object],[object Object],[object Object]
Differential diagnosis: ,[object Object],[object Object],[object Object],[object Object]
Hydrocele of the scrotum:
Principles of treatment: ,[object Object],[object Object]
[object Object],[object Object]
Non-operative management: ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Operative treatment: ,[object Object]
Operative treatment:
[object Object],[object Object],[object Object]
Operative techniques: ,[object Object],[object Object],[object Object]
B.Repair of hernia: There are three steps. ,[object Object],[object Object]
[object Object],[object Object]
(c)The repair and reinforcement of the inguinal canal wall. ,[object Object],[object Object]
There are five types of repair of hernia. ,[object Object]
Bassini repair:
[object Object]
Halsted repair:
[object Object]
McVay repair:
[object Object]
Shouldice repair:
[object Object]
Ferguson repair:
[object Object]
C.Hernioplasty:  ,[object Object],[object Object]
 
Management of incarcerated or strangulated hernias: ,[object Object],[object Object]
[object Object],[object Object]
Management of sliding hernia: ,[object Object],[object Object],[object Object]
[object Object]
  FEMORAL HERNIA
[object Object],[object Object]
Anatomy: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathological mechanism: ,[object Object],[object Object],[object Object]
[object Object],[object Object]
 
Clinical manifestations: ,[object Object],[object Object]
Differential diagnosis: ,[object Object],[object Object],[object Object],[object Object]
 
Treatment: ,[object Object],[object Object]
[object Object],[object Object]
OTHER TYPES OF ABDOMINAL WALL HERNIAS
Incisional hernia ,[object Object],[object Object],[object Object],[object Object]
Umbilical hernia: ,[object Object],[object Object]
[object Object],[object Object]
Epigastric hernia: ,[object Object],[object Object],[object Object],[object Object]
CONCLUSION ,[object Object]
[object Object]
[object Object]
[object Object]
5. The structure of the inguinal canal: ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
6. The structure of the inguinal triangle: ,[object Object],[object Object],[object Object]
7. The differences between the indirect and the direct inguinal hernia:
8. The methods of repairing the inguinal canal wall. ,[object Object],[object Object],[object Object],[object Object],[object Object]
9. The structure of the femoral ring: ,[object Object],[object Object],[object Object],[object Object]

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Hernias1