General Surgery Board Review Anatomy & Surgical Procedures Flashcards

Which bowel anastomosis technique is preferred to minimize ischemia at the anastomotic line?

Answer: Interrupted single-layer technique

A single-layer interrupted technique preserves mucosal blood supply better than multi-layer or locked continuous techniques, reducing ischemia at the anastomosis.

During inguinal hernia repair, the ilioinguinal nerve travels through which structure?

Answer: Inguinal canal

The ilioinguinal nerve traverses the inguinal canal and exits through the superficial inguinal ring, providing sensory innervation to the medial thigh and scrotum/labia.

The Kocher maneuver (mobilization) provides surgical access to which structure?

Answer: Duodenum and head of pancreas

The Kocher maneuver involves mobilizing the duodenum and head of the pancreas by incising the lateral peritoneal reflection, providing access to the retroduodenal and retropancreatic areas.

During a standard Whipple procedure (pancreaticoduodenectomy), which structure is NOT routinely resected?

Answer: Body and tail of pancreas

The standard Whipple removes the pancreatic head, duodenum, gallbladder, distal common bile duct, and sometimes the distal stomach; the body and tail of the pancreas are preserved.

Which port placement is standard for the camera during laparoscopic appendectomy?

Answer: Umbilical

The camera port is placed at the umbilicus to provide a central view of the right lower quadrant; working ports are placed in the suprapubic and left lower quadrant positions.

The Pfannenstiel incision primarily provides access to which anatomical region?

Answer: Pelvis and lower abdomen

The Pfannenstiel incision, made transversely above the pubic symphysis, provides excellent exposure of pelvic structures and is commonly used for cesarean sections and pelvic operations.