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Reducible
Irreducible
Incarcerated
Strangulated
Complete
Incomplete
Sliding
Richters hernia
Maydls hernia
Littres hernia
Inguinal Anatomy.
A mass may be
Visible
Tender
Reducible
Bowel sounds may be audible.
A mass may be
Small or nonpalpabl
Palpabl with coughing and straining.
Diagnosis...
Radiology
Plain films
Upper GI series
Contrast medium enema
Herniography
US
CT
MRI
Treatment.
Treatment
Primary repair (Recurrence rate is 25%)
Prosthetic repair (Open / laparoscopic)
Diaphragmatic hernias
Potential defects
Single
Esophageal hiatus
Paired
Posterolateral
(Bochdalek)
Anterior
(Morgagni, Larrey)
Treatment
Nissen, Toupet,
Belsey Mark IV
nsan Anat Atlas, Sobotta
Primary/prosthetic repair