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Surgery > Hernia (Schwartz 11ed) > Flashcards

Hernia (Schwartz 11ed) Flashcards

1
Q

What is the most common subtype of groin hernia in both men and women?

A

Indirect inguinal hernia

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2
Q

Percentage of hernia repairs in women?

A

10%

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3
Q

Percentage of hernia repairs in men?

A

90%

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4
Q

Percentage of abdominal wall hernias that occur in the groin?

A

75%

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5
Q

Percentage of femoral hernia repairs that occur in women?

A

70%

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6
Q

Peak ages of hernia incidence in men?

A

Before 1 year old

After 40 years old

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7
Q

Hernia prevalence rate in men ages 25-34 years old?

A

15%

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8
Q

Hernia prevalence rate among patients over 75 years old?

A

47%

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9
Q

True or false, conservative management of asymptomatic inguinal hernias is recommended.

A

True

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10
Q

True or false, Elective repair of inguinal hernias can either be undertaken using laparoscopic, robotic, or open approach?

A

True

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11
Q

What is the advantage of robotic assisted hernia repair?

A

Better ergonomics

Better visualization

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12
Q

Does the use of prosthetic mesh improve recurrence rates, whether the repair is open or laparoscopic? Yes or no

A

Yes

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13
Q

What are the 3 metrics by which hernia repair outcome are measured?

A

Recurrence
Pain
Quality of life

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14
Q

Amongst the following, which one results in a tension-free repair?

Bassini
McVay
Shouldice 
Desarda 
Lichtenstein
A

Lichtenstein

All others are tissue-based repairs

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15
Q

Amongst the following, which one restores the strength of the transversalis fascia?

Bassini
McVay
Shouldice 
Desarda 
Lichtenstein
A

Lichtenstein

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16
Q

Advantage of laparoscopic hernia repair?

A

Reduced post-op pain

Improves recovery

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17
Q

Where is the inguinal canal located?

A

Anterior portion of the pelvic basin

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18
Q

How long is the inguinal canal?

A

4 - 6 cm

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19
Q

What is the anterior and posterior borders of the inguinal canal?

A 
Anteriorly = external oblique Aponeurosis 
Posteriorly = transversus abdominis & transversalis fascia
20
Q

What is the superior and inferior borders of the inguinal canal?

A 
Superiorly = internal oblique muscle 
Inferiorly = inguinal ligament
21
Q

Where does the inguinal canal begin?

A

On the posterior abdominal wall

22
Q

Where does the inguinal canal end?

A

Superficial (external) inguinal ring

23
Q

What are the 3 ligaments that contribute to the inguinal canal?

A

Inguinal ligament
Cooper’s ligament
Lacunar ligament

24
Q

What structure traverses the inguinal canal?

A

Spermatic cord

25
Q

What are the contents of the spermatic cord?

A 
3 arteries 
3 veins 
2 nerves 
Pampiniform plexus 
Vas deferens
26
Q

What are the 4 other structures that surround the spermatic cord?

A
  1. Ilio-pubic tract
  2. Lacunar ligament
  3. Cooper’s ligament
  4. Conjoined tendon
27
Q

Also know as the Aponeurotic band?

A

Ilio-pubic tract

28
Q

Also known as the ligament of Gimbernat?

A

Lacunar ligament

29
Q

Also known as Cooper’s ligament

A

Pectineal ligament

30
Q

It is the fusion of the inferior fibers of the Internal oblique and transversus abdominis aponeurosis?

A

Conjoined tendon

31
Q

What aponeurotic band that helps form the deep inferior margin of the transversus abdominis muscle and transversalis fascia, as well as the inferior margin of the Internal inguinal Ring?

A

Ilio-pubic tract

32
Q

What ligament is the triangular Fanning of the inguinal ligament?

A

Lacunar Ligament

33
Q

What ligament forms the lateral portion of the lacunar ligament?

A

Cooper’s ligament

34
Q

What type of hernia that protrudes lateral to the inferior Epigastric vessels via the deep inguinal Ring?

A

Indirect inguinal hernia

35
Q

What type of hernia that protrudes medially to the inferior epigastric vessels within the Hesselbachs’s triangle?

A

Direct inguinal hernia

36
Q

What type of hernia that protrudes in a small and inflexible femoral Ring?

A

Femoral hernia

37
Q

Inferior border of the Hesselbach’s triangle?

A

Inguinal ligament

38
Q

Medial border of the Hesselbach’s triangle?

A

Lateral edge of the Rectus sheath

39
Q

Supero-lateral border of the Hesselbach’s triangle?

A

Inferior epigastric vessels

40
Q

Anterior border of the femoral Ring?

A

Ilio-pubic tract & inguinal ligament

41
Q

Posterior border of the femoral ring?

A

Cooper’s ligament

42
Q

Lateral border of the femoral ring?

A

Femoral vein

43
Q

Nyhus classification type IIIC hernia?

A

Femoral hernia

44
Q

Nyhus classification type I & II hernia?

A

Indirect Hernia

45
Q

Nyhus classification type IIIA hernia?

A

Direct hernia

46
Q

Nyhus classification type IV hernia?

A

Recurrent hernia

47
Q

Nyhus classification type IIIB hernia?

A

Sliding, Scrotal and Pantaloon hernias

Hernias that encroach the posterior inguinal wall

Surgery (2 decks)

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