tags:
- surgery/notesGroin Swelling
Hernia
Testicular tumour
Hydrocele
Varicocele - can only be seen when standing
Groin examination
Abdominal examination- to check intra-abdominal mass
Per rectal examination- to check BPH
Special test (done the test when pt standing up)
Occlusion test
Transillumination test (have to done in dark room)
*don't reduce the hernia when pt is standing
Direct hernia - hernia directly goes out through ant. abd. wall
Indirect hernia - hernia goes out through deep inguinal ring
| Hernia | Hydrocele |
|---|---|
| - bulging from inguinal to scrotum | - only the scrotum bulges out |
| - can still feel the normal size of testis | - cannot feel the normal size of testis |
Incarcerated/irreducible
Strangulation
Obstruction
Ischemia - (bowel ischemia) when there is present of haemorrhagic fluid
Gangrene
Do investigations to elicit the cause of increased intra-abdominal pressure.
Hernia repair is useless if the cause is not settled down.
Causes of increased intra-abdominal pressure:
Intra-abdominal mass
Straining
BPH
Hernioplasty - done by using prolene mesh
Herniorrhaphy - done by using prolene suture
Herniotomy - usually done in children because their deep inguinal ring still not fully developed yet