1
5th stage
Surgery
(pediatric)
Lec-5
Dr.Abdulrahman
23/10/2016
Abdominal Wall Defects and Hernias
Umblical Hernia :
→ Failure of the Umblical ring to close.
→ Sometimes Closed spontanausly.
→ It may need repair.
Para – umblical Hernia :
→ The defect is in linea alba.
→ Herniation occur outside the umblical ring.
→ Stranglution is very common.
Inguinal Hernia :
→ Failure of the upper part of peritoneal sac to close as it descends to scrotum.
→ In female: a similar sac extends to labia.
→ Hydrocele: is a hernial sac with tiny caliber extend to the scrotum.
2
Epigastric Hernia :
It is a defect in the linea alba situated anywhere between the umblicus and xiphesterun.
Diveracation of the recti muscle:
Weak thin linea alba causing separation of both rectus muscule with fusiform bulge in the
midline.
Femoral Hernia :
Incisional Hernia
3
Exomphalos & gastroschiasis :
1. Exomphalos minor.
2.Exomphalos major.
3.Gastroschiasis.
4
Cloacal Extrophy :
Bladder Extrophy :
Chest Wall Defects :
• Ectopia Cordis (Sternal defect) :
• Rib defect (poland Syndrome) :
5
Neural tube defect :
• Meningocele.
• Meningo encephalocele.
• Meningo myelocele.