Chapter 14: General Surgery; Short Answer: Hernia Repair

List the significant tissues and landmarks of the groin area.

1) Skin and sub-q 2) Scarpa's fascia 3) Interparietal fascia 4) Internal oblique muscle 5) Transverse abdominus muscle 6) Transverse fascia 7) Cooper's ligament 8) Rectus abdominus muscle 9) Peritoneum

Define hernia.

A protrusion of a viscus through an opening in the wall of the cavity in which it is contained.

List the structures pictured in Figure 14-2A. (A-E)

A) Indirect sac B) Internal ring C) Spermatic cord D) Femoral sheath E) Cooper's ligament

Fill in the blank: A femoral hernia occurs as a defect in the ______

Abdominal wall

Fill in the blank: Inguinal hernias occur _____ the abdominocrural crease; femoral hernias occur _____ the abdominocrural crease.

Above; Below

List the structures pictured in Figure 14-2B. (F-J)

F) External ring G) Direct hernia H) Inguinal ligament I) Femoral sheath J) Spermatic cord

Fill in the blank: A direct hernia occurs within ___________

Hesselbach's triangle

A Bassini-Shouldice repair is performed to correct which condition?

Inguinal hernia

Describe the parameters of Hesselbach's triangle.

Inguinal ligament, inferior epigastric vessels, & the lateral.

Fill in the blank: An indirect hernia occurs at the _____ ring and may extend to the _____ ring.

Inguinal; Deep inguinal

List the structures pictured in Figure 14-2C. (K-O)

K) Femoral sheath L) Cooper's ligament M) Inguinal ligament N) Femoral hernia O) Spermatic cord

What procedure is completed to correct a hiatal hernia? What dilators may be used?

Laparoscopic Nissen Fundoplication; Maloney dilators

Describe the parameters of Scarpa's fascia.

Membranous sheet attached to the iliac crest, linea alba, & pubis

Where is Cooper's ligament located?

Periosteum of the pubis

What type of hernia results in gangrenous bowel that may be overlooked?

Richter's