Inguinal Hernia

Question 1

Most common hernia in both males and females is

Answer 1

Indirect inguinal hernia

Question 2

Boundaries of KASSELBACH TRIANGLE

Answer 2

Inferior–inguinal ligaments

Medial–outer border of rects

Superior–inferior epigastric vessels

Question 3

Any hernia coming lateral to triangel is

Answer 3

Indirect

Direct (from the triangle)

Question 4

Myopectenial origice of fraschaud boundaries

Answer 4

Sup–arching fibres of internal oblique

Med- outer border of rectus

Lat-tendpn pf iliopsoas

Inf–pectineal and Cooper ligament

Question 5

Three types of hernia from hasselbach triangke

Answer 5

Inguinal
Femoral
Obturator

Question 6

Main test in inguinal hernia

Answer 6

Deep ring occlusion test (single best test)

ZEIMANNS 3 finger test
Ring invagination test

Question 7

Diagnosis in non palpable hernia

Answer 7

USG

Question 8

Occult contralateral inguinal hernia are present in

Answer 8

20%

Question 9

Surgery

Answer 9

Open

Herniotomy
Herniorraphy(bassini, shouldie)

Question 10

Bassini

Answer 10

Suture the conjoint tendon with the reflected portion of inguinal ligament

Question 11

Shouldice repair

Answer 11

3 layered/6 layered
Double breasting

Question 12

Layers of shouldice

Answer 12

First layer–double breasting of fascia transversali

Second layer–doible breastinh of conjoint tendon with reflected portion of liguinal ligament

Third layer-external oblique aponeurosis

Question 13

Surgery of choice

Answer 13

Lightenstein tension free mesh hernioplasty
(Least recurrence)

Question 14

Complications of open inguinal hernia surgery

Answer 14

Hemorrhage
Injury to vas and cord structure
Ilio inguinal nerve injury
Iliohypogastric nerve entrapped–chrpnic inguinal pain
Recurrence
Wound infection

Question 15

Stopas repair

Answer 15

Open pre-peritoneal repair