Hernias Flashcards
what forms the floor of the inguinal canal?
transversalis fascia
transversus abdominus
internal oblique
where do direct hernias lie in relation to the spermatic cord?
adjacent
what forms the border of a femoral hernia? where does it pass?
above - inguinal ligament
below - coopers ligament
medial - lacunar ligament
lateral - femoral vessels
through femoral space
what is a bassini repair?
single layer reconstruction of inguinal floor
what is a shouldice repair?
four layer reconstruction of inguinal floor
what is a mcvay repair?
inguinal floor brought to coopers ligament
closes femoral space
what is common to bassini, shouldice, and mcvay repairs?
without prosthetic reinforcement
why perform a tissue repair?
no mesh available
infected field and risk of infection
what are the features of a lichtenstein mesh repair?
mesh reconstruction of inguinal floor
tension free
lowest incidence of recurrence
risk of prosthetic mesh infection
what is the current standard hernia repair?
lichtenstein mesh repair
which hernia repair procedure has the lowest incidence of recurrence?
lichtenstein mesh repair
what are the two types of preperitoneal hernia repair?
transabdominal preperitoneal (TAP)
total extraperitoneal preperitoneal (TEP)
what are the indications for laparoscopic hernia repair?
bilateral inguinal hernias
comorbid unbilical hernias
earlier return to work
what is the most common general type of hernia repair?
open mesh
where do umbilical hernias occur?
umbilical stalk
