Hernia Hernia Surgery and Repair Techniques 2

Question 1

Which laparoscopic hernia repair approach avoids entering the peritoneal cavity?

Accepted Answer

TEP

Answer

TEP (Totally Extraperitoneal) repair works entirely in the preperitoneal space, avoiding peritoneal entry and reducing visceral injury risk.

Question 2

What is the main advantage of laparoscopic hernia repair over open repair for bilateral inguinal hernias?

Accepted Answer

Both hernias can be repaired through the same small incisions

Answer

Laparoscopic repair allows simultaneous bilateral inguinal hernia correction through the same port sites, avoiding a second open incision.

Question 3

What type of anesthesia is typically used for open inguinal hernia repair under local anesthesia protocols?

Accepted Answer

Local anesthetic with sedation

Answer

Many open inguinal hernia repairs can be performed safely under local anesthesia with intravenous sedation, reducing anesthesia risks.

Question 4

What complication specific to inguinal hernia repair involves injury to the vas deferens?

Accepted Answer

Testicular atrophy or infertility

Answer

Inadvertent ligation or division of the vas deferens during inguinal hernia repair can cause infertility or testicular atrophy.

Question 5

The McVay (Cooper's ligament) repair is particularly suitable for which hernia type?

Accepted Answer

Femoral hernia

Answer

The McVay repair sutures the conjoined tendon to Cooper's ligament, making it one of the few open repairs that also addresses femoral hernias.

Hernia Practice Test