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Friday, July 24, 2009

Different Eponymous types of Hernia

Amyand's hernia :The term Amyand’s hernia refers to the presence of the appendix within the hernial sac, and has been variously defined as the occurrence of either an inflammed or perforated appendix within an inguinal hernia, or simply, the presence of a non-inflammed appendix within an irreducible inguinal hernia.

The pathophysiology of Amyand’s hernia is unknown. Weber et al [4], proposed that appendix in
hernia becomes inflamed as a result of repeated trauma,leading to adhesions and bacterial overgrowth.

Barth's hernia :Hernia of the loops of intestine between the serosa of the abdominal wall and that of a persistent vitelline duct.

Beclard's hernia - femoral hernia through saphenous opening

Berger's hernia - hernia in Pouch of Douglas

Bochdalek hernia :(congenital posterolateral hernia of the diaphragm)A Bochdalek Hernia is one of two forms of a congenital diaphragmatic hernia, the other form being Morgagni's hernia.

The foramen of Bochdalek is a 2cm x 3cm opening in the posterior aspect of the diaphragm in the foetus, through which the pleuroperitoneal canal communicates between the pleural and peritoneal cavities. This canal normally closes by the 8thweek of gestation, failure or  incomplete fusion of the lateral (costal) with the posterior (crural) components of the diaphragm leads to the
development of Bochdalek hernia. Since the left canal closes later than the right, this type of hernia is found on the left side in 85% of cases

Cloquet's hernia :A femoral hernia perforating the aponeurosis of the pectineus and insinuating itself between this aponeurosis and the muscle, lying therefore behind the femoral vessels.


Cooper's hernia (bilocular femoral hernia ): A femoral hernia with two sacs, the first being in the femoral canal, and the second passing through a defect in the superficial fascia and appearing immediately beneath the skin.

De Garengeot's hernia : incarceration of the vermiform appendix within a femoral hernia.

Gibbon's hernia : hernia with hydrocoele

Gruber's hernia :Internal mesogastric hernia.

Hesselbach's hernia - hernia of a loop of intestine through the cribriform fascia presenting lateral to femoral artery

Hey's hernia :encysted hernia, scrotal or oblique inguinal hernia in which the bowel, enveloped in its own proper sac, passes into the tunica vaginalis in such a way that the bowel has three coverings of peritoneum

Holthouse hernia :an inguinal hernia that has turned outward into the groin.

Krönlein's hernia: An inguinoproperitoneal hernia; a hernia that is partially inguinal and partly properitoneal.

Larrey's hernia = (Morgagni's hernia)

Laugier’s femoral hernia- This is a type of femoral hernia through a gap in the lacunar ligament. It is more medial in position and nearly always strangulated.

Littre's hernia - hernia with Meckels's Diverticulum

lumbar hernia: hernia in the lumbar region (not to be confused with a lumbar disc hernia), contains following entities:

  • Petit's hernia - hernia through Petit's triangle (inferior lumbar triangle).
  • Grynfeltt's hernia - hernia through Grynfeltt-Lesshaft triangle (superior lumbar triangle).

Maydl's hernia -(hernia-in-W) The hernia contains two loops of bowel arranged like a 'W'. The central loop of the 'W' lies free in the abdomen and is strangulated where as the two loops present in the sac are not.

Mesocolic / transmesenteric hernias:  occur through iatrogenically created defects in the mesentery. These defects include herniation of an abdominal viscus, usually through the small bowel mesentery or transverse mesocolon. These hernias are common following abdominal surgery, especially Roux-en-Y loop reconstruction,  which creates a defect in the mesentery.

Morgagni hernia (also known as retrosternal or parasternal diaphragmatic hernia) occurs due to the defective fusion of the septal transverses of the diaphragm and the costal arches. This anatomic defect lies posterolateral to the sternum and is called Larrey’s space . The exact aetiology of this hernia is unknown but it is postulated that it begins as a weakness in the diaphragm which is later stretched due to intraperitoneal pressure.

Narath’s femoral hernia - The hernia lies hidden behind the femoral vessels. It occurs only in patients with congenital hip dislocation due to lateral displacement of the psoas muscle.

Pantaloon hernia: a combined direct and indirect hernia, when the hernial sac protrudes on either side of the inferior epigastric vessels

Perineal hernia(Mery’s hernia): A perineal hernia protrudes through the muscles and fascia of the perineal floor. It may be primary but usually, is acquired following perineal prostatectomy, abdominoperineal resection of the rectum, or pelvic exenteration.

Phantom hernia - Localised muscle buldge following muscular paralysis

Richter's hernia: strangulated hernia involving only one sidewall of the bowel, which can result in bowel perforation through ischaemia without causing bowel obstruction or any of its warning signs.

Rieux's hernia :retrocecal hernia, protrusion of the intestine into a pouch behind the cecum.

Rokitansky's hernia :A separation of the muscular fibres of the bowel allowing protrusion of a sac of the mucous membrane.

Serofini's hernia - behind femoral vessels

Spigelian hernia - Spigelian hernia occurs through congenital or acquired defects in the spigelian fascia. This is the area of the transversus abdominis aponeurosis, lateral to the edge of the rectus muscle but medial to the spigelian line, which is the point of transition of the transversus abdominis muscle to its aponeurotic tendon.

Treitz's hernia is the eponymous name for a paraduodenal hernia. These are rare hernias that arise in the potential spaces and folds of the posterior parietal peritoneum adjacent to the ligament of Treitz.(duodenojejunal hernia)

Velpeau hernia: A velpeau hernia is a femoral hernia in front of the femoral blood vessels in the groin.

 

 

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13 comments:

Unknown said...

So useful

Anonymous said...

Nice..very useful

Anonymous said...

Ovary as content?

Lignocaine said...

Awesome list.

Unknown said...

Is it useful for the present exams in2019/2020

John Williams said...

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Jacob said...

The treatment for a hernia is surgery: an operation to repair (fix) the hernia. But, every hernia does not require an operation. For some hernias, only observation – wait and watch – is sufficient.

Not all hernias need to be operated. The decision about whether or not to operate requires careful consideration of several factors: What is the type of hernia? What is the size? Is it reducible or irreducible? How is your general health? In some cases, the decision is fairly straightforward. In others, a detailed and thoughtful discussion is necessary.

Hernia Treatment in Bangalore

Hernia surgery can be done either by laparoscopy (keyhole surgery) or by open surgery (a long cut). Laparoscopy is preferable to open surgery in most cases. But, in some cases open surgery may be better. A synthetic patch called a mesh is used to reinforce the muscles of your abdominal (tummy wall) in most hernia repair operations. You could think of a mesh as a specially designed fishing net. The mesh remains in your body permanently. It works like scaffolding so that scar tissue can grow into the mesh and strengthen the area. There are different types of meshes and different ways of fixing the meshes to the muscles of the abdominal wall. There are pros and cons for various techniques, and a thoughtful choice needs to be made. Dr Manas Tripathy does both laparoscopic and open hernia surgery, and he will explain the choice that may be best for you.

Nora Gurun said...

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RUTH MARIS said...

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churas said...

Get same day appointment with hernia specialist Singapore. Treatment for allhernia types. Consult for umblical hernia and femoral hernia singapore.

Alarico Adalbert said...

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It is cowardly to say no to herbal medicine. It is fear based. And it is dishonest to what my heart wants. Don't build a wall around yourself because you are afraid of herbals made or taking a bold step especially when it's come to health issues and getting cured. So many young men/ women tell me over and over that Dr Itua is going to scam me but I give him a try to today I feel like no one will ever convince me about herbal medicine I accept Dr Itua herbal medicine because it's cure my herpes just two weeks of drinking it and i have been living for a year and months now I experience outbreak no more, You can contact him if you need his herbal medicine for any such diseases like, Herpes, Parkinson, Diabetes, Hepatitis, Syndrome, Cancers, HIV, Epilepsy, Infertility, and any kind of disease & Infections Love Spell,. Email..drituaherbalcenter@gmail.com then what's app.+2348149277967.... My advice to any sick men/women out there is simple... Be Always an open book. Be gut wrenching, honest about yourself, your situation, and what you are all about. Don't hold anything back. Holding back will get you nowhere...maybe a one way ticket to lonelyville and that is NOT somewhere you want to be. So my final truth...and I'm just starting to grasp this one..    

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