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Some Hernias and Complications. A
Some Hernias and Complications. A. Strangulation of the Gut:A loop of gut protrudes through a fascial and the edges of the opening impinge upon the blood supply of the entire circumference of the lumen. If only a part of the circumference of the gut is pinched in the opening, it is called a Richter hernia.B. Incisional hernia:A bulge near an operative scar usually indicates an incisional hernia. The lack of fascial support can be readily palpated.C. Midline abdominal hernias:In the adult-type umbilical hernia, the fascial ring is incomplete, so the bulge is superior to the umbilicus. An epigastric hernia is a small bulge of fat protruding from the deep layers through an opening in the linea alba. It may not be detected unless the patient is examined in the standing position and the examining finger is run down the linea alba. Source: Chapter 9. The Abdomen, Perineum, Anus, and Rectosigmoid, DeGowin's Diagnostic Examination, 9e Citation: LeBlond RF, Brown DD, DeGowin RL. DeGowin's Diagnostic Examination, 9e; 2009 Available at: Accessed: October 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
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