Repair of hernias
A combination direct and indirect hernia - ANS-Describe a pantaloon hernia.
A direct inguinal hernia - ANS-In examining the male patient you place your finger and his
superficial ring when all ring and ask him to cough. You then feel a sudden impulse medial to
your finger. You conclude that your patient most likely has
All--Femoral, indirect inguinal, direct inguinal hernias - ANS-The mesh-plug open hernia repair
technique is indicated for which type of hernia?
Be concerned about potential spread of cancer to superficial inguinal lymph nodes - ANS-While
removing a cancerous testis the surgeon inadvertently allowed fluid from the testis to flow over
the incised skin of the scrotum
The surgeon should:
Congenital; acquired - ANS-Ryan has an indirect hernia that is characterized by a small neck
thin walls and close attachment to the cord structures. Mark has a hernia with a short wide neck
and a thick walled sack. Based on this description Ryan has a _____hernia and Mark has a
______hernia
Cremaster muscle - ANS-Structure covers the spermatic cord and contracts to make the
testicles ascend in the scrotum?
Direct inguinal hernia - ANS-While direct and indirect hernias both protrude into the inguinal
canal and represent tears in the transversalis fascia which one of the two occurs within the
Hesselbach triangle
Females - ANS-Femoral hernias occur more frequently in which group of individuals
Floor of the inguinal canal - ANS-Direct hernia is a weakness in the:
Hernia recurrence - ANS-An example of a common postoperative complication related to an
inguinal hernia surgery is
If the patient is hypersensitive to amide local anesthetics - ANS-Bupivicaine and ropivacaine are
look-alike sound like drugs. adverse drug reactions can occur if the clinician confuses the two.
both drugs promote nerve conduction blockage analgesia when given locally but bupivacaine is
cardiotoxic. When selecting a local anesthetic to fill an elastomeric pain pump with what is one
contraindication that should be considered?
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