Incisional Hernia Quiz 2
Incisional Hernia Quiz
Test your knowledge on incisional hernia procedures and anatomy with our comprehensive quiz! This quiz includes questions related to the transversus abdominis muscle release, botulinum toxin usage, and risk factors for complications in hernia repairs.
Join now to enhance your understanding and expertise:
- 11 carefully crafted questions
- Multiple choice format
- Focus on practical and clinical knowledge
Please note that this question is related to video/question 5. Which of the following statements is CORRECT regarding the transversus abdominis muscle release (TAR) procedure?
A biological mesh is always necessary after a transversus abdominis muscle release (TAR).
TAR allows for a dissection that is performed superiorly under the ribs until the central tendon of the diaphragm.
Lateral extension of the TAR plane is limited at the mid-axillary line
The posterior layer can be left with holes in it as long as the anterior layer is complete.
The transversus abdominis muscular release is necessary anterior to the lower rib cage.
With respect to the anatomy of the muscles of the abdominal wall, which of the following statements is CORRECT?
The Rives-Stoppa dissection is a retromuscular dissection within the borders of the rectus sheath.
The semilunar line lies at the lateral edge of the external oblique muscle.
The inferior epigastric vessels run anteriorly to the rectus muscle.
When performing a transversus abdominis muscle release (TAR), the incision in its upper part is aponeurotic.
When performing a transversus abdominis muscle release (TAR), the initial incision in the posterior rectus sheath is lateral to the nerve bundles.
With respect to the development of the abdominal wall muscles, which of the following statements is CORRECT?
The lateral muscles have a segmental origin similar to the intercostal muscles.
The attachment of the inferior part of the rectus muscle develops after birth.
As the muscles enlarge, the umbilical ring closes.
Rectus sheath asymmetry develops after birth.
The abdominal wall development in utero has not been studied due to ethical concerns.
With respect to the development of the abdominal wall muscles, which of the following statements is CORRECT?
The internal oblique muscle originates from the anterior surfaces of the lower ribs.
The external oblique muscle originates from the posterior surfaces of the lower ribs.
The posterior rectus sheath is deficient below the arcuate line.
During anterior component separation (ACS), no external oblique muscle fibers need to be cut.
During endoscopic component separation (ECS), a space is created between the external oblique muscle and the transversus abdominis muscle.
Which of the following statements is CORRECT? Decisions made during a multidisciplinary team (MDT) meeting...
Cannot be used in research studies.
should be recorded and discussed with the patient.
are ‘set in stone’ and cannot be altered.
cannot be used for second opinions.
Do not consider the patient's performance status.
Which of the following options is CORRECT? The objectives of botulinum toxin (Botox) injection prior to complex abdominal wall reconstruction (CAWR) are the following:
Hypertrophy of the lateral muscle complex.
Rectus abdominis muscle lengthening.
Reduction in lateral muscle retraction.
Rectus abdominis muscle hypertrophy.
Increase in loss of domain.
Which of the following statements is CORRECT with respect to botulinum toxin (Botox) use in complex abdominal wall reconstruction (CAWR)?
Doses are typically 5-10 IU of botulinum toxin on either side.
It is key to infiltrate the external and internal oblique muscle but not the transversus abdominis muscle (in case TAR is required).
A radiologist is always required to ensure an accurate injection of botulinum toxin.
When combined with a preoperative pneumoperitoneum, the intention is a synergistic effect on increasing intraperitoneal volume.
Previous botulinum toxin use in cosmesis is a contraindication to its use in CAWR.
Please select the option that is NOT a risk factor in the statements below. Patient-related risk factors for mesh infection DO NOT include:
obesity.
diabetes mellitus.
immunosuppression.
smoking.
ischemic heart disease.
Which of the following statements is CORRECT? There are risk factors for chronic pain after ventral/incisional hernia repair:
Older patients.
Male gender.
Preoperative pain.
Suprapubic hernia location.
Mesh size >15x30cm.
With regard to avoiding disasters in incisional hernia repair, which of the following options is NOT an important part of the preoperative assessment?
Grade of contamination.
Quality of soft tissues.
Presence of a stoma.
Ultrasound scan of abdominal wall muscles.
Massive loss of domain.
With regard to seromas, which of the following options is CORRECT?
A grade 2 seroma has been present for >6 months.
Electrocautery is a risk factor for seroma formation.
Braided sutures represent a risk factor for seroma formation.
Drains have been shown to reduce seroma formation in breast surgery.
A grade 3 seroma will always need a formal surgical excision.
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