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Fifth stage
Pediatric Surgery
Lec-4
د.عبد
الرحمن
21/10/2015
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.
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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
Exomphalos & gastroschiasis
1. Exomphalos minor.
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2.Exomphalos major.
3.Gastroschiasis
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Cloacal Extrophy
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Bladder Extrophy
Chest Wall Defects
• Ectopia Cordis (Sternal defect)
Rib defect (poland Syndrome)
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Neural tube defect
Meningocele
Meningo encephalocele
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Meningo myelocele