inspection:
scar site
visible cough impulse
usually reducible
ascites
palpation:
cough impulse
defect size
?complete abdominal examination = another problem in case
hernia is an abnormal protrusion of intra-peritoneal tissue through an opening
complications:
incarceration – strangulation
intestinal obstruction
predisposing factors:
disease
raised abd pressure
wound infection
malignancy
patient
poor healing – elderly, DM, malnourised
surgeon
suturing skill and equiment
management:
conservative
mesh repair
