Inguinal Test Answers Flashcards
Inguinal Final
TEP repairs require the use of _____, which separate the fascial layers to make room for the mesh in the _____ space. In a TAPP repair the surgeon uses ports to go into the _______ cavity first.
- Dissector
- preperitoneal
- intra-abdominal
The _____ canal is the path between the internal & external rings. Its ceiling is the ______ oblique and its floor is the _______ ______.
- inguinal
- external
- transversalis fascia
The inguinal ______ connects the ASIS & Pubic Tubercle.
ligament
One natural weakness in the groin is because the internal oblique AND _____ _______ muscles do not extend all the way down to the inguinal ligament, leaving the transversalis fascia exposed. This is where ______ hernias occur.
transverse abdominus
direct
Situation: Your surgeon is placing 3D Max using a TAPP technique and doesn’t want to fixate. Is that an issue?
No - the peritoneum will be reapproximated to cover the mesh and 3D max is self-fixating.
Which of the following are advantages of the Lichetenstein repair over tissue to tissue:
a. less tension
b. higher costs
c. lower recurrence rates
d. higher pain
e. can be done in children
a. less tension
c. lower recurrence rates
Direct hernias the sac is _____. These occur _____ to the epigastric vessels. These most often occur in _____.
transversalis fascia
medial
men
Indirect hernias the sac is _____. These hernias occur _____ to the epigastric vessels. These most often occur in ____.
peritoneum
lateral
men
The crest in 3D max mesh corresponds with what structure?
inguinal ligament
The notch in 3D max corresponds with what structure?
illiac vessels
The Bard inguinal product that is most commonly used with robotics is ____.
3D Max
What structures make up Hasselbach’s triangle?
- rectus abdominus
- epigastric vessels
- inguinal ligament
In inguinal procedures what tissue plane is the surgeon placing the mesh?
preperitoneal
T/F - The “inguinal floor” is the transversalis fascia.
True
What is the importance of fixating the peritoneum in a TAPP procedure.
Protect the bowel from growing into the mesh.
Know inguinal anatomy picture w/ triangle of doom and pain.
Right facing picture.
Describe the 2 differences between TAPP and TEP repairs.
TAPP you create a “trap door” and enter through the belly. You shave off the peritoneum and place the mesh preperioteneal. Reapproximate peritoneum and exit.
TEP you do not compromise peritoneum. enter through the skin, then use balloon to remove peritoneum from rest of layers.
What does the blue marker on 3D Max stand for?
Medial
What is the name of the Plug technique that is most common?
Milikan
What are 2 disadvantages of Lichtenstein repair?
lots of sutures
can only be used open
Progrip is sold by ____ and it’s made of _____ mesh. ProGrip’s main design feature is its ______ that allow them to market it as ____-_____.
Medtronic
polyester
self-fixating
The Bard products that compete against it are:
3D Max and 3D Max Light
List two selling points against ProGrip:
- expensive
- polyester causes more inflammatory response
Give a description of the product and list a weakness/selling point of it:
- Ultrapro
- Prolene Hernia System
-UltraPro:
Ethicon popypropylene synthetic and bioresorbable made with minocryl. No ring or patch.
- Prolene Hernia System
Ethicon monofilament polypropylene. (Flat Sheet). No patch, no ring, no plug.
Prolene Hernia System is manufacture by:
Ethicon
ProLoop Plug is manufacture by:
Atrium
Paritex is manufacture by:
Covidian/Medtronic
Ultra Pro is manufacture by:
Ethicon
