review questions Flashcards

1
Q

hernia definitino

A

protrusion of a Viscus or OTHER structure beyond the NORMAL coverings of the CAVITY where it;s contained

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2
Q

hernia elements

A

sac, neck, contents

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3
Q

hernia complications

A

incarceration
obstruction
strangulation

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4
Q

taxis?

A

non operative treatment of intestinal obstruction by MANUAL REPOSITIONING

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5
Q

define strangulated hernia

A

IRREDUCIBLE hernia with ISCHEMIC or necrotic contents

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6
Q

define reccurent hernia

A

hernia that occurs after a previous hernia REPAIR

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7
Q

anterior wall hernia types

A

groin-femoral/inguinal

umbilical

epigastric

spligellian

incisional

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8
Q

inguinal canal anatomy

A

ant wall: apenourosis of ext obliqw

post wall: transversalis facia

sup wall; fibers of INToblique and transverse abdominis

inf wall: inrolled edge of inguinal ligament

INT ring- round lig/ SC emerge via T-VERSALIS Fascia

EXT ring- lying over the pubic tubercle

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9
Q

femoral canal anatomy

A

Ant wall: INGUINAL lig

Med wall: LACUNAR part of inguinal lig

Post wall: ILIOPECTINEAL lig

Lat wall: Femoal VEIN

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10
Q

most common anteror ab wall hernias

A

inguinal hernia cause 80% of hernias

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11
Q

types of inguinal hernias and their anatomical difference

A

indirect- sac goes THROUGH the canal (int to ext rings)

Direct- though the transversalis facia (post wall)

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12
Q

define epigastric hernia

A

Protusion of PREPERITIONEAL FAT through a fascial defect in the DECUSSATING fibers of the SupraUmbillical portion of the LineaAlba

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13
Q

define spligelian hernia

A

INTERPARIETAL hernia in the SEMILUNAR line which is the lateral margin of the rectus sheath from 9th costal cartilage to pubic crest

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14
Q

define incisional hernia

A

hernia though a cicatric/ scar of aa previous operation

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15
Q

tyoes of adult umbilical hernias

A

-

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16
Q

richters hernia def

A

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17
Q

littres hernia define

A

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18
Q

dx bet femoral and inguinal hernia

A

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19
Q

why is taxis C.i for STRANGULATED umbilical hernia in adults

A

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20
Q

62 yo being op for left inguinal hernia repair. large indirect sliding hernia is found and during dissection the sigmoid is injured. colotomy is repaired w/ sutures, which repair is used in this sitch-

A

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21
Q

contents of inguinal canal in men

A

spermatic cord

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22
Q

mc hernia repair of today

A

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23
Q

list possible organs found in the sac of an ingiunal hernia

A

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24
Q

except INGUINAL HERNIA, a bulge in the inguinal region and scrotum can be what

A

-

25
Q

how many hours after onset of sx can NON OP rx (taxis) of incarcerated hernia be applied

A

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26
Q

why is the rare Richter hernia so dangerous

A

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27
Q

posterior wall of inguinal canal is used for most hernia repairs. what is it composed of

A

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28
Q

Pantaloon hernia is a rare type of inguinal hernia. what is so specific about it

A

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29
Q

what are tthe causes pf Umbilical hernia in adults (aquired)

A

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30
Q

why is a loss of abdominal domain a problem in incisional hernia repair

A

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