Hernia (Abdominal Wall and Groin) - 2-4
A hernia is an abnormal protrusion of part of a viscus through its containing wall. Hernias, in particular inguinal hernias, are very common, and thus, herniorrhaphy is a common surgical intervention.
- Congenital hernia
- Infantile inguinal hernia
- Acquired hernia
- Inguinal hernia
- Femoral hernia
- Umbilical hernia
- Ventral (incisional) hernia
Particular attention should be paid to the physical examination and identification of the type of hernia. Non-reducible (incarcerated) hernia are at increased risk for strangulation and requires emergent, rather than elective, repair.
Given a patient with a hernia, the candidate will
- list and interpret critical clinical findings, including
- differentiate the various types of hernias on the basis of physical exam;
- differentiate hernias from other causes of a groin masses;
- identify hernias needing emergent surgical repair;
- list and interpret critical investigations of a patient who may have strangulation, ischemia, or bowel obstruction;
- construct an effective management plan, including
- select patients in need of surgical consultation;
- counsel and educate patients on the risks associated with uncorrected hernias as well as strategies to reduce post-operative recurrence (especially with ventral hernias).