Brainscape's Knowledge GenomeTM

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


See full index

SRGRY3 > INGNL HRNIA NTMY > Flashcards

INGNL HRNIA NTMY Flashcards

1
Q

What percentage of abdominal wall hernias occur in the groin?

A

75%

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

of inguinal repairs, what percentage is done on men?

A

90%

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

What is a man’s lifetime risk of developing inguinal hernia?

A

27%

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

What is a woman’s lifetime risk of developing inguinal hernia?

A

3%

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

At what age/s do inguinal hernia incidence peak in men?

A

before 1st year of age

after age 40

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

Lifetime prevalence rate of age 25-34?

A

15%

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

Lifetime prevalence rate of age 75 years and over?

A

47%

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

What percentage of femoral hernia repairs are done in women?

A

70%; thus femoral hernia are more common in women

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

What is the most common type of inguinal hernia?

A

indirect inguinal hernia

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

What is the most common type of inguinal hernia in women?

A

indirect inguinal hernia

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

What is the length of the inguinal canal?

A

4-6 cm

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

The deep inguinal ring passes through a hiatus at this fascia. What is this fascia?

A

Transversalis fascia

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

True about the anatomy of the inguinal canal

a. the superficial ring is where the spermatic cord passes through the hiatus in the transversalis fascia
b. the deep inguinal ring is the point at which the spermatic cord crosses a defect in the external oblique aponeurosis
c. The inguinal canal is bounded by the internal oblique muscle laterally
d. the spermatic cord contains three arteries, three nerves and two arteries, three layers of spermatic fascia

A

C.

A. deep ring is where the spermatic cord crosses the transversalis fascia
B. the superficial ring is where the spermatic cord crosses a defect in the external oblique aponeurosis
D. the spermatic cord contains three arteries three veins and two nerves, three layers of spermatic fascia

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

What are the boundaries of the inguinal canal?

Anteriorly: _________

A

External oblique aponeurosis

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

What are the boundaries of the inguinal canal?

laterally : _________

A

internal oblique muscle

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

What are the boundaries of the inguinal canal?

posteriorly : _________

A

transversalis fascia and transversus abdominis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the boundaries of the inguinal canal?

superiorly : _________

A

internal oblique and transversus abdominis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the boundaries of the inguinal canal?

inferiorly : _________

A

inguinal (Poupart’s) ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

An aponeurotic band that begins at the ASIS and inserts into Cooper’s ligament

A

Iliopubic tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

This ligament is the traingular fanning of the inguinal ligament as it joins the pubic tubercle.

A

Lacunar ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

lateral portion of the lacunar ligament that is fused to the periosteum of the pubic tubercle

A

Cooper’s ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

This structure is described as the fusion of the inferior fibers of the internal oblique and transversus abdominis aponeurosis at the point where they insert on the pubic tubercle

A

Conjoined tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

True about inguinal hernias

a. direct hernias protrude lateral to the inferior epigastric vessels
b. indirect hernias protrude at the Hesselbach’s triangle
c. direct hernias protrude at the deep inguinal ring
d. The Hesselbach’s triangle is medial to the inferior epigastrc vessels

A

D.

Direct inguinal hernias protrude medial to the I.E.V. at Hesselbach’s triangle

Indirect inguinal hernias…lateral…deep inguinal ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Borders of Hesselbach’s triangle

SuperoLateral : _____

A

Inferior epigastric vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Borders of Hesselbach’s triangle

Medial: _____

A

Rectus abdominis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Borders of Hesselbach’s triangle

Inferior: _____

A

Inguinal ligament

27
Q

Borders of the femoral ring

Anterior: ________

A

ilipubic tract and inguinal ligament

28
Q

Borders of the femoral ring

Posterior: _________

A

Cooper’s ligament

29
Q

Borders of the femoral ring

Medially: _________

A

Lacunar ligament

30
Q

Borders of the femoral ring

Laterally: _________

A

Femoral vein

31
Q

Intraperitoneal points of references in laparoscopic inguinal hernia

A

5 pertoneal folds
bladder
inferior epigastric vessels
psoas muscle

32
Q

Two potential spaces within the preperitoneum

a. Bogros and Retzius
b. Mitz and Boom
c. Scarpa and Camper
d. Cooper and Gimbernat

A

A

33
Q

Two potential spaces exist within the peritoneum. Between the peritoneum and the posterior lamina of the transversalis fascia is the preperitoneal space a.k.a

A

Bogros’s space

34
Q

Two potential spaces exist within the peritoneum. The most medial aspect of the preperitoneal space that which lies superior to the bladder is known as the

A

Space of Retzius

35
Q

This orifice is a relatively weak portion of the abdominal wall that is divided by the inguinal ligament.

A

Orifice of Fruchaud

36
Q

This structure is situated between the posterior and anterior laminae of the transversalis fascia and it houses the inferior epigastric bessels.

A

Vascular space

37
Q

What supplies the rectus abdominis?

A

inferior epigastric artery

38
Q

The inferior epigastric artery is derived from this artery

A

external iliac artery

39
Q

The inferior epigastric artery anastomoses with this artery which is a continuation of the internal thoracic artery

A

superior epigastric artery

40
Q

What are the 4 nerves of interest in the inguinal region?

A

Ilioinguinal
iliohypogastric
genitofemoral
lateral femoral cutaneous nerves

41
Q

From which nerve root does ilioinginal and iliohypogastric nerves arise?

A

L1

42
Q

This nerve emerges from the lateral border of the psoas major and passes obliquely across the quadratus lumborum

A

Ilioinguinal nerve

43
Q

Function of ilioinguinal nerve (general)

A

somatic sensation to skin of upper and medial thigh; in males, innervates base of penis and upper scrotum; females mons pubis

44
Q

Function of ilioinguinal nerve (males)

A

base of penis and scrotum

45
Q

Function of ilioinguinal nerve (females)

A

mons pubis and labium majus

46
Q

Nerve root of ilihypogastric nerve

A

T12-L1

47
Q

Muscles supplied by iliohypogastric nerve

A

internal oblique and transverus abdominis

48
Q

Nerve root of genitofemoral nerve

A

L1 and L2

49
Q

Nerve root of lateral femoral cutaneous nerve?

A

L2-3

50
Q

What nerve supplies the cremasteric muscle?

A

genital branch of the Genitofemoral nerve

51
Q

What is the function of the genital branch of the genitofemoral nerve in females?

A

supplies ipsilateral mons pubis and labium majus

52
Q

Which nerve courses along the retroperitoneum and emerges on the anterior aspect of the psoas?

A

Genitofemoral nerve

53
Q

Which nerve pierces the transverus and internal oblique muscles to enter the inguinal canal and exit through the superficial inguinal ring?

A

Ilioinguinal nerve

54
Q

Which nerve pierces the deep abdominal wall, courses between the internal oblique and transversus abdominis,.

A

Iliohypogastric nerve

55
Q

Which nerve emerges lateral to the psoas muscle at the level of L4 and crosses the iliacus muscle obliquely toward the ASIS?

A

Lateral femoral cutaneous nerve

56
Q

Borders of the triangle of doom

Medial:________

A

vas deferens

57
Q

Borders of the triangle of doom

Lateral:________

A

vessels of the spermatic cord

58
Q

What are the contents of the triangle of doom?

A 
D Ex GF
External iliac vessels
Deep Circumflex iliac vein
Femoral nerve
Genital Branch of the genitofemoral nerve
59
Q

Triangle of pain

Inferolateral border: ______

A

iliopubic tract

60
Q

Triangle of pain

superomedial border: ______

A

gonadal vessels

61
Q

Triangle of pain

Lateral border: ______

A

reflected peritoneum

62
Q

Contents of triangle of pain (nerves)

A 
4Fs
Femoral nerve
Femoral branch of genitomeral nerve
Anterior femoral cutaneous nerve
Lateral femoral cutaneous nerve
63
Q

What makes up the circle of death (5)

A

Interesting Info Ob Ex Con

Internal Iliac
Inferior epigastric
Obturator artery
External Iliac
Corona mortis (retropubic obturator branch)

SRGRY3 (44 decks)

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