Term
| Areas in which open IHR is superior to lap |
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Definition
1. Lower rate of recurrence ( 4.9 vs 10.)
2. Lower complication rate (33.4% vs 39% |
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Term
| Areas in which lap IHR is superior to open |
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Definition
1. Less pain at 2 weeks
2. Return to normal activities 1d earlier |
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Term
| How to repair a femoral hernia |
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Definition
| approximate the iliopubic tract to the Cooper ligament with interrupted sutures or with a mesh plug. |
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Term
| Contraindication to using mesh plug in femoral hernia repair |
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Definition
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Term
| Signs of obstruction with pain down the medial thigh upon internal rotation of the hip |
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Definition
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|
Term
| 3 indications for UHR in children |
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Definition
1. failure to close by 4 years
2. Defect > 2 cm
3. family concerns about cosmetic appearance |
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Term
| Typical time by which UHRs spontaneous close |
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Definition
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|
Term
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Definition
| More common (x8) in African Americans |
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Term
| Indication for UHR in a patient with ascites |
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Definition
| Evidence of thinning or ischemia of the overlying skin |
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Term
| Preparation/ideal time of UHR in tense ascites |
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Definition
| After medical management; failing that, after TIPS; failing that at time of transplant if a candidate |
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Term
| Hernia bound by Iliac crest, latissimus dorsi muscle and external oblique muscle |
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Definition
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|
Term
| Hernia bound by sacrospinous muscle, internal oblique muscle and the 12th rib |
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Definition
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|
Term
| Hernia containing Meckel diverticulum |
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Definition
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Term
| Swollen tender testicle 3-5 days after an inguinal hernia repair: dx, pathophys and way to avoid |
|
Definition
# Ischemic orchitis
# from extensive dissection of the spermatic cord leading to thrombosis of veins in the pampiniform plaxus, venous congestion and symptoms
# with large chronic hernias, divide the sac and leave the distal sac in situ; do not dissect the cord past the pubic tubercle |
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Term
Genital branch of the genitofemoral nerve:
# Spinal roots
# location within the inguinal region
# Structures innervated |
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Definition
# L1-L2
# Part of the cord structions, lies on the ileopubic tract and accompanies the cremasteric muscles
# sensation to the side of the scrotum/labia; responsible for the cremasteric reflex |
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|
Term
Ilioinguinal nerve:
# Spinal roots
# location within the inguinal region
# Structures innervated |
|
Definition
# T12-L1
# on top of the spermatic cord
# innervates the internal oblique muscles and sensory to the upper medial thigh |
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|
Term
Iliohypogastric nerve:
# Spinal roots
# location with the inguinal region
# Structures innervated |
|
Definition
# T12-L1
# on the internal oblique
# sensation to the upper medial thigh, base of penis and skin of the groin |
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Term
| Management of postoperative neuralgias |
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Definition
| non-operative, initially, with nerve blocks to identify the nerve involved. |
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Term
| Management of an incarcerated hernia in infants less than 6 mo old |
|
Definition
| Reduction (75-80% success rate); allow inflammation to subside and semi-elective repair |
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|
Term
| Risk factors for inguinal hernias in children |
|
Definition
| Pre-maturity and low birth weight |
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Term
| MC side of hernias in children |
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Definition
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|
Term
| Incidence of bilaterality of hernias diagnised at birth |
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Definition
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|
Term
| 4 methods to reduce an inguinal hernia |
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Definition
| Trendelenberg,m IV sedation, ice packs and direct pressure |
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Term
| Between the ilioinguinal nerve and the genital branch of the genitofemoral nerve, the on that passes through the deep ring and the one that passes through the superficial ring |
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Definition
Deep ring: genital br of the genitofem n
Superficial ring: ilioinguinal ring |
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Term
| Other name for the inguinal ligament |
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Definition
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|
Term
| Other name for the Pectineal ligament |
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Definition
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Term
| Components of the rectus sheath above and below the arcuate line |
|
Definition
Anterior sheath
Above arcuate line: aponeuroses of the external + internal obliques
Below arcuate line: aponeurosis of external + Internal and transversus abd muscles
Posterior sheat
Above arcuate line: aponeurosis of the internal oblique and trasversus muscles
Below the arcuate line: no posterior sheath, rectus lie on top of trasversalis fascia |
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Term
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Definition
| Indirect hernias are the most common type of hernia regardless of sex |
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|
Term
| More common gender for congenital umbilical hernias |
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Definition
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|
Term
| More common gender for acquired umbilical hernias |
|
Definition
| Females (related to pregnancy) |
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