Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgical Medicine E1 > Hernia Repair > Flashcards

Hernia Repair Flashcards

1
Q

What are the layers of the abd wall

A

skin, fascia, muscle, fascia transversalis, peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Camper’s fascia

A

fatty superficial layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Sacrpa’s fascia

A

deep fibrous layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the muscles of the abd wall

A

Rectus abdominis, external oblique, internal oblique, transverse abdominal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a reducible hernia

A

Contents of hernai return to the abdomen spontaneously or with manual pressure when the patient is lying down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is an incarcerated hernia

A

Hernia whose content cannot return back to the abdomen usually do being trapped by a narrow neck or content edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is an obstructed hernia

A

Fecal content cannot pass through the lumen of segment of bowel trapped in a hernia sac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is stragulated hernia

A

Compromise to the blood supply of the content of the sac (eg. omentum or intestine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a Richter hernia

A

only part of the circumference of the bowel becomes strangulated in the fascial defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the MCC of indirect hernia

A

mainly in utero; results from failure of obliteration of the prossessus vaginalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the definition of the indirect hernia

A

hernia sac through the internal inguinal ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a sliding inguinal hernia

A

type of indirect hernia; occurs when an organ drags along part of the peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is Pantaloon hernia

A

A combined direct and indirect hernia, when the hernia sac protrudes on either side of the inferior epigastric vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the cause of a direct hernia

A

Hesselbach’s triangle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Hesselbach’s triangle

A

inguinal ligament, inferior epigastric, lateral border of the rectus muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the cause of femoral hernia

A

Small empty space between lacunar ligament medially and femoral vein laterally; Passes through the inguinal ring into the upper thigh; More common in women; highest risk of incarceration

17
Q

What is Cooper’s hernia

A

a femoral hernia with two sacs

18
Q

What is Hesselbach’s hernia

A

femoral hernia with a pouch through the cribiform fascia

19
Q

What is Bochdalek hernia

A

Congenital Posterio-lateral herniation through the diaphragm usually on the left side; abd contents protrudes through the diaphragm

20
Q

What is Morgagni hernia

A

congenital herniation through the foramini of Morgagni which is located immediately adjacent to the xiphoid process and the sternum

21
Q

What is a Hiatal hernia

A

acquired; Part of the stomach herniates through the musculature opening where the esophagus passes through the diaphragm

22
Q

What are the sx of Hiatal hernia

A

heartburn relieved by drinking or taking antacids, often worse lying down, regurgitation, pain can be similar to angina, N/V in infants, anemia, pulmonary symptoms, dysphagia

23
Q

What are the complications of Hiatal hernia

A

esophagitis d/t reflux, Barrett’s esophagitis, aspiration

24
Q

What are the risk factors of Hiatal hernia

A

obesity, aging, weakening of musculofascial structures

25
Q

What is the surgical treatment of hiatal hernia

A

Nissen Fundiplication

26
Q

What is paraesophageal hernia

A

All or part of the stomach herniates into the thorax immediately adjacent and to the left of a displaced or nondisplaced gastroesphogeal junction

27
Q

What are the sx of paraesophageal hernia

A

dysphagia, incarceration, stasis gastric ulcer

28
Q

what are the complications of paraesophageal hernia

A

hemorrhage, incarceration, obstruction, strangulation

29
Q

When will an umbilical hernia occur

A

after the closure of the umbilical ring

30
Q

What are the risk factors of umbilical hernias

A

mulitple pregnancies with prolonged labor, ascites, obesity, large intra-abdominal tumors

31
Q

what is an epigastric hernia

A

Hernia that protrudes through the linea alba above the umbilicus; Develop through one of the foramens of egress of small nerves & vessels or through congenital weakness; M>W; Often between the ages of 20-50

32
Q

What is Littre’s hernia

A

Hernia that contains a Meckel diverticulum in the hernia sac

33
Q

What side is a Littre’s hernia most common

A

Right

34
Q

What is a Spigelian hernia

A

A rare hernia through spigelian fascia, which is the aponeurotic later between the rectus abdominis muscle medially, and the semilunar line lateraly; develop at or below the linea arcuata

35
Q

What is a lumbar/dorsal hernia

A

herniations through the posterior wall of the abd wall, “lump in the flank”

36
Q

What is Grynfeltt’s triangle

A

quadratus lumborum muscle, twelfth rib, and internal oblique muscle

37
Q

What is Petit’s triangle

A

formed medially by the latissimus dorsi muscle; laterally by the external abdominal oblique muscle; and inferiorly by the iliac crest

38
Q

What is an obturator hernia

A

A herniation through the obturator canal; elderly hernia

Surgical Medicine E1 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions