All of the following are true about sliding hernia except (AIIMS Nov 2009)
|A||The bladder may be the part of the hernia|
|B||Can be a large inguinal hernia extending up to the scrotum|
|C||Requires meticulous dissection from the posterior wall before repair|
|D||Usually seen in elderly female patients|
a. A sliding inguinal hernia is defined as any hernia in which part of the sac is the wall of a viscus.
b. Approximately 8% of all groin hernias present with this finding, but the incidence is age related.
c. It is rarely found in patients less than 30 years of age, but increases to 20% after the age of 70.
d. On the right, the cecum, ascending colon, or appendix are most commonly involved, and on the left, the sigmoid colon is involved.
e. The uterus, fallopian tube, ovary, ureter, and bladder can be involved on either side.
f. The sliding component is usually found on the posterolateral side of the internal ring.
g. The importance of this condition has lessened considerably in the last several years with the realization that it is not necessary to resect hernia sacs, and that simple reduction into the preperitoneal space is sufficient.
h. This eliminates the primary danger associated with sliding hernias, which is injury to the viscus during high ligation and sac excision.