Title Groin swelling ✅

GROIN SWELLING GROIN SWELLING Hx PE Inguinal Hernia INDIRECT - Male, young - dt congenital PPV DIRECT - > in elderly - RF : Inc intra-abd pressure Neck lateral to inferior epigastric artery out of Hesselbach’s Triangle Neck lies medial to inferior epigastric artery within Hesselbach Reduces upwards, laterally, backwards Reduce upwards, straight backwards Controlled after reduction by pressure over deep ring Controlled after reduction over superficial ring Izzaty, Nisa, Iman, Lissa (7/6/2021) Forti

More common in pregnancy → femoral & umbilical hernia Causes of hernia → smoking, copd, peritoneal dialysis, pregnancy, obesity INGUINAL HERNIA Defect/weakness in abdominal wall causing abnormal protrusion of intraabdominal contents - M>F 9:1 - Reducible hernia: contents can return into position - Irreducible: contents cant return due to adhesion btwn contents Anatomy Izzaty, Nisa, Iman, Lissa (7/6/2021) Forti
Aetiology 1. Anatomical → Weakness due to structures entering & leaving the abdomen 2. Acquired → Sharp/blunt traumas, ↑ intra-abdominal pressure 3. Congenital → Failure of processus vaginalis to close 4. Physiological → Weakness due to ageing and pregnancy Izzaty, Nisa, Iman, Lissa (7/6/2021) Forti