33 Questions
What is the most common type of groin hernia in the general population?
Indirect inguinal hernia
What is the gold standard procedure for inguinal hernia repair?
Lichtenstein procedure
What is the 30-day mortality rate after elective surgery for inguinal repair?
0.1%
What is the main difference between direct and indirect inguinal hernia repair?
Closing the defect vs. creating a new floor
What is the most essential component of direct inguinal hernia repair?
Repairing the floor with mesh
What is the probable diagnosis of a 36-year-old male patient with pain in the left scrotal area after lifting heavy objects?
Inguinal hernia
What is the most essential step in the treatment of indirect inguinal hernia?
Ligate the sac or close the defect
What is the main pathology of indirect inguinal hernia?
Patent processus vaginalis
What is the significance of the patient's pain in the left scrotal area after lifting?
It confirms the diagnosis of indirect inguinal hernia
Why is tissue not used to make a new floor?
The tissue is already damaged
What is the abnormal vital sign in this patient?
Blood pressure of 130/90 mmHg
What is the significance of the patient's seated/rested position in relieving pain?
It relieves the pain and enlargement due to the reduction of the hernia
What is the characteristic of the neck in a direct inguinal hernia?
Wider neck
What is the primary pathologic site in an indirect inguinal hernia?
Internal inguinal ring
What is the indication for tissue repair in hernia surgery?
Used intraoperatively
What is the characteristic of indirect inguinal hernia that can reach the scrotum?
Narrow neck
What is the recommended approach for recurrent hernia if the first operation was anterior?
Posterior approach
What is the increased risk associated with indirect inguinal hernia?
Increased risk of strangulation
What is the primary purpose of using a prosthetic mesh in Lichtenstein repair?
To buttress the inguinal floor
Which laparoscopic approach to inguinal hernia repair involves placing the mesh outside the peritoneum?
TEP
What is the main advantage of the IPOM approach in inguinal hernia repair?
It permits the posterior approach without preperitoneal dissection
Which of the following is a contraindication for the anterior approach in inguinal hernia repair?
Scarring from previous lower abdominal surgery
What is the name of the laparoscopic approach that involves placing the mesh inside the abdominal cavity?
TAPP
What is the primary location of the pathologic site in an inguinal hernia?
Within the Hesselbach's triangle
What is the gold standard for anterior hernia repair?
Mesh repair
What is the primary difference between the anterior and posterior approaches?
The creation of the new floor above or below the transversalis fascia
What is the main reason for using mesh repair in hernia surgery?
Because tissues are already compromised
What is the Nyhus classification used for?
To classify the type of hernia
What is the primary advantage of the laparoscopic approach?
Faster recovery
What is the primary goal of hernia repair surgery?
To create a new floor
What is the Shouldice repair used for?
When the use of prosthetic material is contraindicated
What is the primary difference between the Bassini and Shouldice repairs?
The number of layers repaired
What is the primary risk of the McVay repair?
Nerve damage
Learn about groin hernia, a common ambulatory surgery worldwide, including its types, gold standard procedure, and mortality rates. Suitable for medical students and clinicians.
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