№ 25Thematic Questions22 min read
Abdominal wall hernias
1. Big picture
Abdominal wall hernias are protrusions of intra-abdominal tissue through defects or weak points in the anterior/lateral abdominal wall, excluding the groin hernias discussed separately. The most important exam types are:
- Umbilical / paraumbilical hernia
- Epigastric hernia
- Incisional hernia
- Parastomal hernia
- Spigelian hernia
- Less common: lumbar, suprapubic, traumatic abdominal wall hernia
The examiner wants you to explain:
- What defect is present?
- What is inside the hernia?
- Is it reducible or complicated?
- Does the patient need emergency surgery or elective repair?
- **Should repair be suture-based or mesh-bas
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