An understanding of the inguinal canal is important for anyone involved with the diagnosis or management of inguinal hernias, whether in a community or a hospital setting. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"
An understanding of the inguinal canal is important for anyone involved with the diagnosis or management of inguinal hernias, whether in a community or a hospital setting. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[44],"tags":[],"class_list":["post-622","post","type-post","status-publish","format-standard","hentry","category-innovative-anatomy","entry"],"youtubeVideo":"435677857","question1":"The fascia of Scarpa is the deep fascia of the abdomen.","answers1":"True | False","correctAnswer1":"1","correctAnswerText1":"It is the deep part of the superficial fascia. Camper\u2019s fascia is also part of the superficial fascia but lies more superficial than Scarpa\u2019s fascia.","question2":"The deep ring is as the mid inguinal point.","answers2":"True | False","correctAnswer2":"1","correctAnswerText2":"The deep ring is at the mid point of the inguinal ligament. The femoral artery is found below the mid inguinal point.","question3":"The inguinal ligament forms the inferior border of the inguinal canal.","answers3":"True | False","correctAnswerText3":"","correctAnswer3":"0","question4":"The inferior epigastric arteries give blood supply to the rectus abdominus muscles.","answers4":"True | False","correctAnswer4":"0","correctAnswerText4":"The inferior epigastria arteries supplies blood to the muscle of the anterior abdominal wall and the deep abdominal wall of the pubic and the lower umbilical region.","question5":"Damage to the ilioinguinal nerve may lead to pain or numbness in the ipsilateral groin and scrotum.","answers5":"True | False","correctAnswer5":"0","correctAnswerText5":"The ilioinguinal nerve supplies sensory innervation to the transverus abdominus and internal oblique muscle, anteromedial aspect of the thigh and parts of the external genitalia. It supplies motor function to the transversus abdominus and internal oblique muscles. Damage to the ilioinguinal nerve results in hyperesthesia or hypoesthisa of the skin along the inguinal ligament. The sensation may radiate to the lower abdomen. Pain may be localised to the medial groin, labia majora or scrotum. ","question6":"In the female, the inguinal canal contains the round ligament of the ovary only.","answers6":"True | False","correctAnswer6":"1","correctAnswerText6":"The contents of the inguinal canal in females are the round ligament of the uterus, genital branch of the genitofemoral nerve and the ilioinguinal nerve.","question7":"Some of the muscles and fascia of the anterior abdominal wall that give rise to the inguinal canal, also give rise to the coverings of the spermatic cord.","answers7":"True | False","correctAnswer7":"0","correctAnswerText7":"The internal spermatic fascia derived from the transversalis fascia, the cremasteric fascia derived from the external oblique muscle and the external spermatic fascia derived from the external oblique muscle.","question8":"A direct inguinal hernia is found at operation to be medial to the inferior epigastric vessels. Clinically, this usually means the hernia will not be controlled by the examiner putting a finger over the deep ring when the patient coughs.","answers8":"True | False","correctAnswer8":"0","correctAnswerText8":"Direct inguinal hernias lie medial to the inferior epigastric arteries whilst indirect hernia tend to be lateral to the inferior epigastric arteries. Occluding the deep ring (around the inferior epigastric arteries) will prevent indirect hernias from protruding but not direct hernias.","question9":"A direct inguinal hernia is more likely to \u2018strangulate\u2019 than an indirect inguinal hernia. (Strangulate - meaning that an organ such as small bowel, or tissue such as omentum can become trapped in it and have its blood supply cut off).","answers9":"True | False","correctAnswer9":"1","correctAnswerText9":"It is believed that direct hernias are less likely to strangulate compared to indirect inguinal hernias as the neck of the direct hernia is wide.","question10":"A two day old baby boy is found to have a hernia in his groin. It is likely to be a direct inguinal hernia.","answers10":"True | False","correctAnswer10":"1","correctAnswerText10":"Indirect inguinal hernias are the most common type of inguinal hernia in children. They are commoner in males as the testis migrates from its location on the posterior abdominal wall, down through the inguinal canal. Children presenting in the first few months of life are at the highest risk of strangulation and the hernia should be repaired urgently.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"mid","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/622"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=622"}],"version-history":[{"count":3,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/622\/revisions"}],"predecessor-version":[{"id":625,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/622\/revisions\/625"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=622"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}