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37 Cards in this Set
- Front
- Back
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2. What are two types of hernias?
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a. External
b. Internal |
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3. What are some types of external hernias?
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a. Inguinal
b. Femoral c. Umbilical d. Incisional e. Lumbar f. Spigelian g. Obturator h. Gluteal |
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4. What is the most common cause of internal hernias?
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a. Previous surgeries
b. Removal of a segment of bowel without proper closure of mesentery with resultant loops of bowel herniating through the hole and becoming obstructed |
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5. What is a Petersons Hernia?
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a. Gastric bypass herniation of the roux limb through mesenteric defect
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6. What causes congenital weakness leading to an indirect inguinal hernia in males?
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a. Patent processus vaginalis
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7. What is the etiology of hernias?
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a. Congenital weakness
b. Increase intrabdominal pressure c. Incisional weakness |
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8. What % of strength does repaired tissue have?
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a. 80% of original strength
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9. What are the contents of most hernias?
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a. Omentum
b. Bowel c. Bladder d. Mesentery e. Knuckle of bowel |
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10. What is a littres hernia?
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a. Meckles diverticulum hernia
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11. What is an amyand hernia?
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a. Appendix hernia
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12. What are the symptoms of an incarcerated hernia?
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a. Dull aching pain
b. Irreducible |
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13. What is a strangulated hernia?
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a. Irreducible+obstruction+impairment of blood supply
b. Tense, tender, toxic c. GO TO OR |
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14. Where is the superficial ring located?
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a. In external oblique aponeurosis
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15. What do you use to repair a blown-out inner ring?
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a. Mesh
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16. What is the anterior boundary of the inguinal canal?
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a. External oblique aponeurosis
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17. What is the posterior boundary of the inguinal canal?
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a. Fascia transversalis
b. Conjoint tendon |
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18. What is the superior boundary of the inguinal canal?
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a. Arched fibers of conjoint tendon
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19. What is the inferior boundary of the inguinal canal?
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a. Inguinal ligament
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20. What is the landmark that separates a direct hernia from an indirect inguinal hernia?
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a. Hasselbech’s triangle
b. Inferior epigastric vessels |
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21. What are the contents of the inguinal canal?
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a. Spermatic cord
b. Ilioinguinal nerve c. Genital branch of genitofemoral nerve d. Round ligament in females e. Vestigial remnant of processus vaginalis |
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22. What is a direct inguinal hernia?
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a. Lies inside hesselbachs triangle
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23. What is an indirect inguinal hernia?
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a. Lies just lateral to inferior epigastric vessels outside of hesselbach’s triangle
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24. What is a pantaloons hernia?
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a. Indirect and direct at the same time
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25. What is the medial border of Hesselbach’s triangle?
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a. Lateral border of rectus abdominis
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26. What is the lateral boundary of Hesselbach’s triangle?
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a. Inferior epigastric vessels
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27. What is the inferior boundary of Hesselbach’s triangle?
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a. Inguinal ligament
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28. What is the general ideal of a hernia repair?
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a. Tension-free
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29. What is a TAPP repair?
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a. Laparoscopic repair of hernia
b. Criticized for exposing intra-abdominal organs to small bowel injury and obstruction |
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30. What is a TEP repair?
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a. Open repair
b. Follows basic principles of open giant mesh repair |
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31. What is the lateral boundary of the triangle of doom?
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a. Testicular vessels
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32. What is the medial boundary of the triangle of doom?
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a. Ductus deferens
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33. What is the inferior boundary of the triangle of doom?
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a. Cut peritoneal surface
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34. What are the clinical features of hernias?
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a. More in females
b. Age>50 c. Right side 70% d. Bilateral 20% |
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35. Where does a spigelian hernia occur?
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a. Lateral edge of rectus at semilunar line
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36. What is the female:male ratio of obturator hernias?
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a. 6:1
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37. What is the classical presentation of an obturator hernia?
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a. Bowel obstruction
b. SURGICAL EMERGENCY |
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38. What is a component separation?
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a. Lift up skin flaps to costal margins
b. Cut underlying external oblique fascia c. Allow recuts muscle to medialize |
