Gastrointestinal Quiz week 7 240323

The inguinal ligament is formed from the

• external oblique aponeurosis

• internal oblique aponeurosis

• Scarpa's fascia

• transversalis abdominis fascia

Regarding the rectus sheath, what is anterior to the rectus muscle above the arcuate line?

Select all the apply.

• External oblique aponeurosis

• internal oblique aponeurosis

• Transversalis aponeurosis

• Transversalis fascia

What type of hernia does this represent?

• Hiatus

• Incisional

• Spigelian

• Umbilical

Which of the following would you recommend when discussing

conservative management of a hernia?

Select all that apply.

• Address constipation

• Aim for BMI 19-25

• Aim to achieve a gym bench-press record

• Stop smoking

This is a picture of a Laparoscopy in progress.

Why is the initial incision usually made at the base of the umbilicus?

Please select the most clinically significant answer.

• Around the centre of the abdomen so good views obtained of abdominal cavity inside

• Cosmetic reasons (scar hidden within a crease at the umbilicus)

• No risk of adhesions at the umbilicus from previous abdominal surgery

• Thinnest part of the abdominal wall