Saturday, November 29, 2014

Paraumbilical hernia mnemonic

More of a checklist on what you need to know and write in exams!
The mnemonic is, "PARAUMBILICAL"

P: Pregnancies is a predisposing factor
A: Abdominal wall that is flabby is a predisposing factor, Adults
R: Retrorectus mesh placement (Hernioplasty is treatment of choice)
A: Adhesion can occur
U: Umbilectomy may be required
M: Mayo's operation (Herniorrhaphy, not done now)
B: Breasting (Double breasting sutures are used in Mayo's operation)
I: Irreducibility, obstruction
L: Linea alba herniation, Large size
I: Intestinal obstruction, colic are complications
C: Coughing impulse present
A: Abdominal binder
L: Lipectomy, panniculectomy may be required

That's all!

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