Clinical examination and evaluation of groin hernia

1. GROIN
HERNIAS
DR. SHOUPTIK BASU

3. ANATOMY

4. STANDING SUPINE

5. INVAGINATIONTEST

6. ZIEMAN’STEST

7. DEEP RING OCCLUSIONTEST

8. GETTING ABOVETHE SWELLING

9. Pyriform swelling in the Right
Groin extending into the
scrotum, smooth borders,
deviating the penis to the
opposite side, no visible
peristalsis.
Cough impulse –
Irreducible
Deep Ring Occlusion test could
not be performed

10. Globular swelling in both
groins
Cough impulse +
Reducible,
Spontaneous reduction on
lying down
Deep Ring Occlusion test -
ve

11. Pyriform swelling in the
Left inguinoscrotal region,
smooth borders, to the
opposite side, no visible
peristalsis.
Swelling bulges or enlarges
on crying
Reducible
Deep Ring Occlusion +ve

12. Pyriform swelling in
the both Groins
extending into the
scrotum
Swelling bulges or
enlarges on crying
Reducible
Deep Ring Occlusion
+ve

13. Bilateral Globular
Swelling on the Groin
Cough impulse
absent
Irreducible
Below and Lateral to
PubicTubercle

15. Right Globular Swelling on
the Groin after Coronary
Angiography
Cough impulse absent
Irreducible
Below and Lateral to Pubic
Tubercle
Pulsatile

16. NEURO-ANATOMY

17. BASSINI
=======
CONJOINTTENDONTO REFLECTED
PORTION OF INGUINAL LIGAMENT

18. McVAY BOTH
FEMORAL AND
INGUINAL
REPAIR ALONG
THE COOPER’S
LIG

19. SHOULDICE
==========
DOUBLE BREASTING
• FASCIATRANSVERSALIS
• CONJOINTTENDONTO REFLECTED PORTIONOF INGUINAL LIGAMENT
• EXTERNALOBLIQUE

20. DESARDA
=========
APONEUROTIC SLIP IS USEDTO
REPAIRTHE DEFECT

21. LICTENSTEIN

25. PROLENE HERNIA SYSTEM

26. STOPPA

27. TEP

28. TAPP

29. Obstructed Hernia