Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ABSITE > Hernias,Abdomen, Surgical technology > Flashcards

Hernias,Abdomen, Surgical technology Flashcards

1
Q

indirect hernia

A

patent processus vaginalis
most common
superior and lateral to epigastric muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

runs medial to cord structures

A

vas deferens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

forms external abdominal oblique fascia and shelving edge

A

external abdominal oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

forms cremasteric muscles

A

internal abdominal oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

forms inguinal canal floor

A

transversalis muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

lacunar ligamnet

A

where inguinal ligament splays out to insert in the pubis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

below inguinal ligament , from transversalis

A

ileopubic tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

composed of aponeurosis of the internal abdominal oblique and transversus abdomins muscles

A

conjoined tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

hasselbachs traiangle

A

medial - rectus muscle
inferior - inguinal ligament
superior - inferior epigastric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

direct hernias

A

lower risk of incarceration
rare in females
inferior/medial to epigastric vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

lichtenstein repair

A

decreases reccurence of hernia by using mesh

decreases tension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

bassini repair

A

approximation of the conjoined tendon and transversalis fascia (superior) to the free edge of the inguinal ligament (inferior)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Mcvay repair

A

approximation of the conjoined tendon and transversalis fascia to coopers ligament
needs a relaxing incsions in the external abdominal oblique fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

most common early complication following hernia repair

A

urinary retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

testicular atrophy after hernia repair

A

secondary to dissection of the distal component of the hernia sac causing vessel disruption
thrombosis of spermatic cord veins
usually with indirect hernia repair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pain after hernia repair

A

ilioinuinal nerve compression

TX: local infiltration can be diagnostic and therapeutic

17
Q

ilioinguinal nerve injury

A

loss of cremasteric reflex, numbness on ipsilateral penis,scrotum, thigh
usually injured at external ring, nerve runs on top of cord

18
Q

genitofemoral nerve injury

A

genital branch -
motor cremaster/ scrotum sensory
femoral - sensory upper lateral thigh

19
Q

cord lipomas

A

remove

20
Q

trapezoid of doom

A

laparoscopic hernia repair- femoral branch of genitfemoral nerve, lateral cutaneous nerve, femoral artery
dissect lateral to vessels stay along inguinal ligament

21
Q

femoral hernia

A

medial to femoral vein and lateral to the lymphatics
boundaries:
coopers ligament, inguinal ligament, femoral vein
TX use a Mcvay or bassni repair

22
Q

spigelian hernia

A

lateral border of rectus muscle throug linea semilunaris and usually inferior to semicicrularis

23
Q

richters hernia

A

noncircumfrential incarceration of thre nonmesenteric bowel wall

24
Q

littres hernia

A

incarcerated meckels

25
Q

Petis hernia

A

inferior lumbar hernia
boarders: external abdominal oblique
latissimus dorsi
ilia crest

26
Q

grynfelts hernia

A

superior lumbar hernia

boarders: internal abdominal oblique, lumbrodorsal aponeurosis, 12 th rib

27
Q

sciatic hernia

A

herniation through the greater sciatic foramen, high rate of strangulation

28
Q

obturator hernia

A

howship romberg sign - inner thigh pain with internal rotation
elderly women, previous pregnancy, bowel gas below superior pubic ramus
TX: operative reduction

29
Q

CO2 pneumoperitoneum

A

increased pulmonary artery pressure, HR, systemic vascular resistance, CVP, mean airway pressure, peak inspiratory pressure, and CO2
decreased venous return (IVC compression), pH, renal flow , CO
PEEP has additive effect–> increased P –> decreased renal blood flow and increases renin production

30
Q

Co2 embolus

A

head down, turn patient to left

31
Q

sudden rise in ETCO and hypotension during laprascopy

A

CO2 embolus

32
Q

harmonic scalpel

A

disrupts H bonds, causes coagulation

ABSITE (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions