Q:

Which of the following relationships is correct?

0

Which of the following relationships is correct?


  1. Femoral hernia – high incidence of strangulation in females.
  2. Ventral hernia – most common in neonates.
  3. Direct hernia – herniates into the scrotal sac
  4. Pantaloon hernia – hernia protrudes either side of femoral artery.
  5. Indirect hernia – herniates through the superficial ring only

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a. Femoral hernias are more common in women. The small bowel herniates through the femoral canal underneath the inguinal ligament, medial to the femoral artery. (Use ‘NAVEL’ to remember from lateral to medial in the femoral canal – Nerve, Artery, Vein, Empty space, Lymphatics.) The neck of femoral hernias is narrow and therefore strangulation ensues. Indirect hernias pass through both the deep and superficial inguinal rings, ventral hernias, also known as incisional hernias, are most commonly seen in those patients with particular risk factors including obesity, old age, wound infection postoperatively and violent coughing. Direct hernias do not protrude into the scrotal sac although inguinal hernias cannot be classified adequately until surgery is performed.

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