Inguinal Hernia Repair and Abdominal Hernias MCQs

What is the first step in an open inguinal hernia repair?

• Spermatic cord is retracted

• A right or left inguinal (oblique) incision is made

• Hernia sac is ligated

• Abdominal wall layers are incised

What is the second step in an open inguinal hernia repair?

• Abdominal wall layers are incised and edges retracted

•  Make an incision in the abdominal wall.

•  Reduce the contents of the hernia sac.

•  Suture the hernia sac closed.

What is the third step in an open inguinal hernia repair?

•  Suture the hernia sac closed.

•  Cremaster muscle is incised or separated to expose spermatic cord

•  Place a mesh over the abdominal wall.

•  Remove the testicle from the scrotum.

What is the fourth step in an open inguinal hernia repair?

•  Spermatic cord is retracted with penrose drain

•  Suture the abdominal wall and close the incision.

•  Insert a mesh and leave the tissue layers unconnected.

•  Remove the hernia sac and leave the canal open.

Which hernia type is located near the belly button?

• Spigelian hernia

• Umbilical hernia

• Direct inguinal hernia

• Femoral hernia

What is the fifth step in an open inguinal hernia repair?

• Hernia sac is dissected from spermatic cord and opened

• Remove the mesh and inspect the hernia sac.

• Place a drain in the inguinal canal for fluid management.

• Suture the abdominal wall and close the incision.

What is the sixth step into an open inguinal hernia repair?

• Suture the hernia sac and close the skin only.

• Insert a mesh and leave the abdominal wall unstitched.

• Contents of hernia sac are pushed back into abdomen

• Remove the hernia sac and leave the canal open.

What is the seventh step into an open inguinal hernia repair?

• Hernia sac is ligated with ties or purse-string suture

• Insert a mesh and leave the abdominal wall unstitched.

• Suture the hernia sac and do not close the canal.

• Remove the hernia sac and leave the canal open.

What is the eighth step into an open inguinal hernia repair?

• Cut the abdominal wall and leave it exposed.

• Insert a mesh and do not suture the layers.

• ST give surgeon synthetic mesh; surgeon trims mesh to fit defect

• Remove the hernia sac and leave the canal open.

What is the ninth step into an open inguinal hernia repair?

•  Placing a mesh implant.

•  Removing the hernia sac.

•  Suturing the abdominal wall.

•  Synthetic mesh is sutured into place over hernia defect