Surgery: Abdomen - Inguinal Hernia

Question 1

Inguinal Hernia

What is the set up of an Inguinal Hernia examination?

Answer 1

• expose from umbilicus to knees
• start with the patient standing

Question 2

Inguinal Hernia

What are the inspection findings in an Inguinal Hernia examination?

Answer 2

Question 3

Inguinal Hernia

What are the palpation findings in an Inguinal Hernia examination?

Answer 3

Question 4

Inguinal Hernia

How should inspection and palpation be repeated?

Answer 4

Question 5

Inguinal Hernia

What is a direct vs an indirect hernia differentiated?

Answer 5

Question 6

Inguinal Hernia

What is needed to complete an Inguinal Hernia examination?

Answer 6

Question 7

Inguinal Hernia

What are the differentials for groin lumps in the following tissue:

• skin
• Fat
• connective tissue
• nerves
• lymphatics
• veins
• arteries
• inguinal canal
• femoral canal
• testes

Answer 7

Question 8

Inguinal Hernia

What are the 4 distinguishing features of an Inguinal Hernia?

Answer 8

Question 9

Inguinal Hernia

What are the key questions in an Inguinal Hernia history?

Answer 9

Question 10

Inguinal Hernia

What is the conservative management of an Inguinal Hernia?

Answer 10

Question 11

Inguinal Hernia

What is the surgical management of an Inguinal Hernia?

Answer 11

Question 12

Inguinal Hernia

What are the common discussion points with an Inguinal Hernia?

Answer 12

Question 13

Inguinal Hernia

What is the definition of an Inguinal Hernia?

Answer 13

Question 14

Inguinal Hernia

What is the anatomy of the Inguinal Canal?

Answer 14

Question 15

Inguinal Hernia

What is the anatomy of the Femoral Canal?

Answer 15

Question 16

Inguinal Hernia

What are the contents of the Inguinal Canal?

Answer 16

Question 17

Inguinal Hernia

What are the contents of the spermatic cord?

Answer 17

Question 18

Inguinal Hernia

What is the operative distinction between the different types of hernia?

Answer 18

Question 19

Inguinal Hernia

What are the two main types of Inguinal Hernia?

Answer 19

• Indirect (80%)
• Direct (20%)

Question 20

Inguinal Hernia

What are the features of an Indirect Inguinal Hernia?

Answer 20

Question 21

Inguinal Hernia

What are the features of a Direct Inguinal Hernia?

Answer 21

Question 22

Inguinal Hernia

What is the clinical distinction between an Indirect and Direct Inguinal Hernia?

Answer 22

Question 23

Inguinal Hernia

What are the different approaches to Inguinal Hernia surgery?

What is the main risk?

Answer 23

Question 24

Inguinal Hernia

What are the features of Open Inguinal Hernia Surgery?

Answer 24

Question 25

Inguinal Hernia

What are the features of Laparoscopic Inguinal Hernia Surgery?

Answer 25

Question 26

Inguinal Hernia

What are the early complications of Inguinal Hernia Surgery?

Answer 26

Question 27

Inguinal Hernia

What are the late complications of Inguinal Hernia Surgery

Answer 27

Question 28

Inguinal Hernia

What is the post-op recovery for Inguinal Hernia Surgery?

Answer 28

Question 29

Inguinal Hernia

What are the features of a Femoral Hernia?

Answer 29

Question 30

Inguinal Hernia

What is the management of a Femoral Hernia?

Answer 30

Question 31

Inguinal Hernia

What are the different approaches to Femoral Hernia Surgery?

Answer 31

• Elective: Lockwood Low Approach
• Emergency: McEvedy High Approach

Question 32

Inguinal Hernia

What are the features of elective Femoral Hernia Surgery?

Answer 32

Question 33

Inguinal Hernia

What are the features of emergency Femoral Hernia Surgery?

Answer 33