Abdominal Wall and Groin Masses

Surgery

Assumptions

The students understands the anatomic relationships of the abdominal wall musculature and fascia.

Knowledge Objectives

Through their reading and patient care experiences, at the end of the rotation students should be able to:

Discuss the differential diagnosis of inguinal pain, mass or bulge including hernia, adenopathy, muscular strain
Describe the anatomic differences between indirect and direct hernias.
Discuss the relative frequency of indirect, direct and femoral hernias by age and gender.
Discuss the clinical conditions that may predispose to development of inguinal hernia.
Discuss the indications, surgical options, and normal post-operative course for:
inguinal hernia repair
femoral hernia repair
Define and discuss the clinical significance of incarcerated, strangulated, reducible and Richter’s hernias.
Discuss the differential diagnosis of an abdominal wall mass including desmoid tumors, neoplasm, hernia, adenopathy, and rectus sheath hematoma
Describe the potential sites for abdominal wall hernias including incisional, umbilical, inguinal, femoral, Spigelian, and epigastric hernias and differentiate diastasis recti from abdominal hernia
Compare the natural history and treatment of umbilical hernia in children and adults.
Describe clinical factors contributing to the development and repair of an incisional hernia.
Outline the management of an abdominal wall desmoid.
Discuss the role of surgical repair in prevention of hernia complications.