Named Hernias in Surgery.
Named hernias and eponymous in hernia makes frequently asked MCQs in various PGMEEs. So here we are compiling the named hernia list of about 46 hernias.
Most common named hernias.
Amyand’s hernia :The term Amyand’s hernia refers to the presence of the appendix within the hernial sac, and has been variously defined as the occurrence of either an inflammed or perforated appendix within an inguinal hernia, or simply, the presence of a non-inflammed appendix within an irreducible inguinal hernia.
Barth’s hernia :Hernia of the loops of intestine between the serosa of the abdominal wall and that of a persistent vitelline duct.
Beclard’s hernia – femoral hernia through saphenous opening
Berger’s hernia – hernia in Pouch of Douglas
Bochdalek hernia: (congenital posterolateral hernia of the diaphragm) A Bochdalek Hernia is one of two forms of a congenital diaphragmatic hernia, the other form being Morgagni’s hernia.
Cloquet’s hernia :A femoral hernia perforating the aponeurosis of the pectineus and insinuating itself between this aponeurosis and the muscle, lying therefore behind the femoral vessels.
Cooper’s hernia (bilocular femoral hernia ): A femoral hernia with two sacs, the first being in the femoral canal, and the second passing through a defect in the superficial fascia and appearing immediately beneath the skin.
De Garengeot’s hernia : incarceration of the vermiform appendix within a femoral hernia.
Gibbon’s hernia : hernia with hydrocoele
Gruber’s hernia :Internal mesogastric hernia.
Hesselbach’s hernia – hernia of a loop of intestine through the cribriform fascia presenting lateral to femoral artery
Holthouse hernia :an inguinal hernia that has turned outward into the groin.
Krönlein’s hernia: An inguinoproperitoneal hernia; a hernia that is partially inguinal and partly properitoneal.
Larrey’s hernia = (Morgagni’s hernia)
Laugier’s femoral hernia- This is a type of femoral hernia through a gap in the lacunar ligament. It is more medial in position and nearly always strangulated.
Littre’s hernia – hernia with Meckels’s Diverticulum
lumbar hernia: hernia in the lumbar region (not to be confused with a lumbar disc hernia), contains following entities:
- Petit’s hernia – hernia through Petit’s triangle (inferior lumbar triangle).
- Grynfeltt’s hernia – hernia through Grynfeltt-Lesshaft triangle (superior lumbar triangle).
Maydl’s hernia -(hernia-in-W) The hernia contains two loops of bowel arranged like a ‘W’. The central loop of the ‘W’ lies free in the abdomen and is strangulated where as the two loops present in the sac are not.
Morgagni hernia (also known as retrosternal or parasternal diaphragmatic hernia) occurs due to the defective fusion of the septal transverses of the diaphragm and the costal arches.
Narath’s femoral hernia – The hernia lies hidden behind the femoral vessels. It occurs only in patients with congenital hip dislocation due to lateral displacement of the psoas muscle.
Pantaloon hernia: a combined direct and indirect hernia, when the hernial sac protrudes on either side of the inferior epigastric vessels
Perineal hernia(Mery’s hernia): A perineal hernia protrudes through the muscles and fascia of the perineal floor. It may be primary but usually, is acquired following perineal prostatectomy, abdominoperineal resection of the rectum, or pelvic exenteration.
Phantom hernia – Localised muscle buldge following muscular paralysis
Richter’s hernia: strangulated hernia involving only one sidewall of the bowel, which can result in bowel perforation through ischaemia without causing bowel obstruction or any of its warning signs.
Rokitansky’s hernia :A separation of the muscular fibres of the bowel allowing protrusion of a sac of the mucous membrane.
Serofini’s hernia – behind femoral vessels
Spigelian hernia – Spigelian hernia occurs through congenital or acquired defects in the spigelian fascia. This is the area of the transversus abdominis aponeurosis, lateral to the edge of the rectus muscle but medial to the spigelian line, which is the point of transition of the transversus abdominis muscle to its aponeurotic tendon.
Treitz’s hernia is the eponymous name for a paraduodenal hernia. These are rare hernias that arise in the potential spaces and folds of the posterior parietal peritoneum adjacent to the ligament of Treitz.(duodenojejunal hernia)
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