Most common ethology of hernia recurrence: Separation of the mesh from the fascia.

Most common complication of hernia repair: Seroma formation. (It does not necessarily contributes for recurrence nor should be mistaken for recurrence)

Obturator hernia: (women 5:1)

  • Howship Romberg sign: inner thigh pain w/internal rotation

Ileoinguinal nerve:

  • Traverses inguinal canal
  • Sensation to superomedial thigh and scrotum

Genitofemoral nerve:

  • Genital branch runs on spermatic cord to cremaster (motor) and scrotum (no leg)

Femoral hernia:

  • Is medial to vein, artery and then nerve
  • "NAVEL" E = empty space for hernia

Spigelian hernia:

  • Inferior to linea semicircularis
  • Through linea seminlunaris
  • Deep to external oblique
  • And therefore hard to diagnose
  • Often incarcerates bowel
  • Repair all

Petit's hernia: inferior lumbar triangle

  • (Iliac crest, ext oblique, latisimus dorsi)

Grynfelt's hernia: superior lumbar triangle

  • (12th rib, internal oblique, lumbosacral aponeurosis)

Béclard's hernia: A femoral hernia through the opening of the saphenous vein

Velpeau hernia: A groin hernia in front of the femoral vessels

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