38 Hernias, Abdomen, Surgical Technology

Question 1

Inguinal Hernia - Shouldice ‘canadian’ repair

Answer 1

4 layers continuous prolene
TF > TF; TF > TF (tie)
CT > IL; CT > IL (tie)

First open TF

Lowest recurrence
Distributes tension across layers

Question 2

Sensation provided by genital branch of genitofemoral cutaneous nerve?

Answer 2

Scrotum, creamaster

Mons, labia majora

Question 3

Inguinal Hernia - Bassini repair

Answer 3

Do not open TF

Interrupted proline
CT > IL; CT > IL

Question 4

Inguinal Hernia - Shouldini repair

Answer 4

2 layer - continuous proline

Do we open TF??

TF > TF; CT > IL

Question 5

Inguinal Hernia - McVay repair

Answer 5

For incarcerated hernias - no mesh
Good for femoral hernias

First open TF

Continuous

CT > coopers ligament
CT > IL

Question 6

Inguinal Hernia - Lichtenstein repair

Answer 6

Direct defect mesh overlay

Question 7

Inguinal Hernia - Rutkow-Robbins repair

Answer 7

Plug and patch

Question 8

Inguinal Hernia - PHS repair

Answer 8

Proline hernia system

Open TF

Both a mesh underlay and overlay repair

Question 9

Inguinal Hernia - Henry repair

Answer 9

Insert mesh in preperitoneal space

Question 10

Inguinal Hernia - Laparoscopic (TAPP/TEP)

Answer 10

NEED TO ADD