Hernia

Hernia

  • Protusion of a viscus or tissue from the body compartment in which it normally resides into another body compartment

Classification

  1. Congenital / acquired
  2. Complete / partial
    • Complete: inguinal, femoral
    • Partial: Richters, sliding gastric

Predisposing features

  1. Increased donor compartment pressure
    • Abdomen: inguinal, femoral, obturator, diaphragmatic, hiatus
    • Brain: ICP - brain herniation 
  2. Weakness of tissues with normal pressure in donor compartment
    • Incisional hernia: poor technique, nutrition

Complications

  1. Obstruction
  2. Ischaemia / infarction
  3. Pressure effects
  4. rupture