Inguinal Hernia Classification

They are the most common type of hernia and account for around 75 of all anterior abdominal wall hernias with a prevalence of 4 in those over 45 years. Inguinal hernias can be indirect or direct incarcerated or strangulated. An inguinal hernia occurs when abdominal cavity contents enter into the inguinal canal.

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An indirect inguinal hernia is the most common type.

Inguinal hernia classification. Follows the round ligament in females 8. A weakness in the fascial floor of the. Anterior to the spermatic cord in males 8. In this article we shall look at the classification clinical features and management of inguinal herniae.

Brooks dc et al. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. Nyhus 28 developed a classification designed for the posterior approach based on the size of the internal ring and the integrity of the posterior wall. An inguinal hernia occurs when abdominal cavity contents enter into the inguinal canal.

Hernias can be categorized into five classes gilbert 1989. Often it gets worse throughout the day and improves when lying down. 50 classification of inguinal hernia 3. In 1993 rutkow and robbins added a type 6 to the gilbert classification to designate double inguinal hernias and a type 7 to designate a femoral hernia.

Symptoms are present in about 66 of affected people. This may include pain or discomfort especially with coughing exercise or bowel movements. It often occurs in premature births. It is broadly divided into two types.

Some of these classifications include casten 1967 halverson and mcvay 1970 gilbert 1989 nyhus 1991 bendavid 1993 aachen also known as the. They are the most common type of hernia and account for around 75 of all anterior abdominal wall hernias with a prevalence of 4 in those over 45 years. The testis appears to lie within the lower part of the hernia russel et al 2004. Numerous classifications for inguinal hernias have been described and proposed to allow surgeons to define the anatomical type of hernia and to match the repair to the defect found.

Inguinal hernias occur when part of the membrane lining the abdominal cavity omentum or intestine protrudes through a weak spot in the abdomen often along the inguinal canal which carries the spermatic cord in men. Inguinal hernia recurrence is still too frequent in the large published series 1 2 whatever the surgical technique used its incidence is often inaccurately recorded because of inadequate follow up in terms of methodology used its duration or proportion of patients followed up as compared to the operated again patients the rate of recurrence appears to be between 0 2 and 10. In this article we shall look at the classification clinical features and management of inguinal herniae. A complete inguinal hernia is rarely present at birth but is commonly encountered in infancy.

Classification clinical features and diagnosis of inguinal and femoral hernias in. A bulging area may occur that becomes larger when bearing down. Herniates lateral to the inferior epigastric artery 2. It also occurs in adolescence or adult life.

Passes through the deep inguinal ring.