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SURGERY_hlo > Abdominal Wall > Flashcards

Abdominal Wall Flashcards

1
Q

midline fusion of the anterior and posterior layers of the rectus aponeurotic sheath

A

linea alba

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2
Q

lateral border of rectus abdominis; curved shaped

A

linea semilunaris

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3
Q

three tendinous intersections of rectus abdominis

A

level of umbilicus, xiphoid, and between the 2

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4
Q

fibers of EXternal oblique ms runs ____

A

inferiorly and medially

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5
Q

inferior most edge of the EOM; reflected posteriorly b/w ASIS and pubic tubercle

A

inguinal ligament

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6
Q

fibers of INT oblique runs

A

superiorly and medially

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7
Q

lower medial and inferior most fibers of the INTOblique may fuse with lower fiber of transversus abd m to form _____

A

conjoined tendon/area

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8
Q

lower medial and inferior most fibers of the INTOblique are contiguous with what muscle in the inguinal canal

A

cremaster fiber/ms

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9
Q

at the level of asis where linea semilunaris crosses; where potential site of hernia may occur

A

arcuate line of douglas

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10
Q

rectus sheath

superior versus inferior

A

superior: with RS
inferior: no RS

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11
Q

blood supply of the anterior abdominal wall

A

Superior epigastric a - from internal thoracic a.

Inferior epigastric a - from external iliac a

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12
Q

lymphatic drainage of abdominal wall

A

predominantly - major nodal basins in the superficial inguinal and axillary areas

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13
Q

motor innervation of ant abd ms

A

anterior rami of T6-T12

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14
Q

sensory innervation

A

afferent branches of T4 through L1

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15
Q

derm segment sensory to umbilicus

A

T10

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16
Q

name various anterior abdominal wall incisions for exposure of peritoneal structures

A
  1. midline
  2. paramedian
  3. Right subcostal and “saber slash” extension to costal margin
  4. bilateral subcostal (aka buckethandle, chevron, gable)
  5. Mercedes Benz extension
  6. Rocky-davis incision and Weir extension
  7. McBurney
  8. Transverse incision and extension across midline
  9. Pfannensteil aka bikini cut
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17
Q

incision made 3cm off midline; for ruptured appendicitis

A

paramedian incision

18
Q

incision used for cholecystectomy

A

right subcostal incision and saber slash extension OR Kocher incision

19
Q

incision used for splenectomy

A

left subcostal incision and saber slash extension

20
Q

used in pancreatic, liver, gastric surg

A

Bilateral subcostal (Buckethandle, chevron, gable) incision and Mercedex Benz extension

21
Q

transverse incision for appendectomy

A

Rocky-davis

22
Q

Diagonal incision for appendectomy

A

McBurney

23
Q

above umbilicus; usually in pediatric patients

A

Transverse incision and extension across midline

24
Q

commonly for pelvic procedures, CS, hysterectomy

A

Pfannensteil

25
Q

Type of abdominal wall defect in which intestines, liver, and occasionally other organs remain outside the abdomen IN A SAC (derived from amnion)

midline through umbilicus

A

Omphalocoele

26
Q

viscera protrudes through a defect lateral to umbilicus and no sac is present

A

Gastrochisis

27
Q

outpouching of terminal ileum

A

Meckel’s Diverticulum

diverticulitis if inflamed; mimics appendicitis

28
Q

Meckel’s diverticulum normally regresses during ______

A

3rd trimester

29
Q

complete failure of the vitelline duct to regress results to

A

vitelline duct fistula

30
Q

both the intestinal and umbilical ends of the vitelline duct regress into fibrous cords

A

vitelline duct cyst (omphalomesenteric cyst)

31
Q

fistula from bladder to umbilicus

A

urachal fistula

32
Q

separation of rectus pillars

A

diastasis recti

33
Q

a palpable mass that remains unchanged with contraction of the rectus muscles and is classically associated with rectus hematoma

A

Forthergill’s sign

34
Q

most definite study to diagnose rectus sheath hematoma

A

CT scan

35
Q

Name prmary ventral/non-incisional/true ventral hernias

A

epigastric
umbilical
Spigelian

36
Q

hermia containing omentum or a portion of falciform ligament

A

epigastric hernia

37
Q

umbilical hernia closes spontaneously at what age

A

5

38
Q

line or zone where an aponeurotic band of variable width at the lateral border of rectus abdominis muscle

A

Spigelian line or zone

39
Q

where is the most common location of a spigelian hernia

A

slightly above the arcuate line

40
Q

MC procedure associated with incisional hernia

A

midline laparotomy incision

41
Q

best method of ventral hernia repair

A

laparoscopic ventral hernia repair

42
Q

other ventral hernia repair procedures

A

open tissue repair

open tension Free repair with mesh

SURGERY_hlo (6 decks)

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