64 T_h e abdominal wall, hernia and umbilicus

ABDOMINAL HERNIA e A hernia is an abnormal protrusion of an organ or tissue through an opening i...

ABDOMINAL WALL The skin of the abdominal wall, similar to all skin, is prone to develop superfici...

ACKNOWLEDGEMENT The authors are grateful to Andrew C de Beaux MBChB MD FRCS FEBS AWS, Consultant ...

Abdominal compartment syndrome Surgeons are increasingly aware of the harmful e ff ect of high ...

Anatomical causes of abdominal wall herniation These may be classified as areas of natural weakne...

Clinical history and diagnosis in hernia cases Patients are usually aware of a lump on the abdom...

Common principles in abdominal hernia An abdominal wall hernia has two essential components: a de...

Cutaneous fistula Because of the thickness of the abdominal wall, it is rare for abdominal inflam...

Epigastric hernia These hernias arise through the midline raphe (linea alba) anywhere between the...

Examination for hernia The patient should be examined lying down initially and then standing, as ...

Femoral hernia Basic anatomy The external iliac artery and vein pass below the inguinal ligament ...

Incisional hernia These arise through a defect in the musculofascial layers of the abdominal wal...

Inguinal hernia Inguinal hernia, often referred to as a ‘rupture’ by patients, is the most common...

Introduction No content extracted automatically.

Investigations for hernia For most hernias, the diagnosis is made on clinical examina - tion. How...

Learning objectives To know and understand: Basic anatomy of the abdominal wall and its weaknesse...

Lumbar hernia Most primary lumbar hernias occur through the inferior lumbar triangle of Petit, b...

Management principles An abdominal wall hernia does not necessarily require repair. A patient may...

Mesh in hernia repair The term ‘mesh’ refers to prosthetic material, either a net or a flat sheet,...

Neoplasms of the abdominal wall As the abdominal wall is composed of muscle, fascia and bone, be...

Parastomal hernia When surgeons create a stoma, such as a colostomy or ileostomy , they are e ff e...

Rare external hernias Perineal hernia Primary perineal hernias are very rare. The majority of per...

SPECIFIC HERNIA TYPES Hernia sites are shown in Figure 64.9 .

Spigelian hernia These hernias are uncommon although probably underdiagnosed. They a ff ect men an...

Sportsman’s groin This specific entity is well described and presents with severe - pain in the gr...

Surgical approaches to hernia In general, modern surgical repairs follow these principles: /uni25...

Synergistic gangrene This rare condition is due to the synergistic action of non-haemolytic strep...

THE ABDOMINAL WALL Basic anatomy and function related to pathology The abdominal wall is a comple...

Traumatic hernia These hernias arise through non-anatomical defects caused by injury . They can b...

UMBILICAL CONDITIONS IN THE ADUL T Chronic infection in the umbilical area is common, particularl...

Umbilical hernia The umbilical defect is present at birth but closes as the stump of the umbilic...

VENTRAL HERNIA This term refers to hernias of the anterior abdominal wall. Inguinal and femoral ...