Emea Hernia Binder Vhr Level 2
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- 1.
Most staged hernia repairs fall into which two categories?
- A.
Two-stage hernia repair & Open abdomen hernia repair
- B.
Two-stage hernia repair & Three-stage hernia repair
- C.
Open abdomen hernia repair & Three-stage hernia repair
- D.
None of the above
Correct Answer
A. Two-stage hernia repair & Open abdomen hernia repairExplanation
Staged hernia repairs can be categorized into two types: two-stage hernia repair and open abdomen hernia repair. This means that the correct answer is "Two-stage hernia repair & Open abdomen hernia repair."Rate this question:
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- 2.
A hernia field may become contaminated as a result of (check all that apply):
- A.
Enterocutaneous fistula
- B.
Traumatic injury to the bowel
- C.
Operations on the digestive track
- D.
Primary suture closure of the hernia defect
Correct Answer(s)
A. Enterocutaneous fistula
B. Traumatic injury to the bowel
C. Operations on the digestive trackExplanation
A hernia field may become contaminated as a result of an enterocutaneous fistula, which is an abnormal connection between the intestines and the skin. This can allow bacteria from the intestines to enter the hernia field and cause contamination. Traumatic injury to the bowel can also lead to contamination, as it can cause a breach in the intestinal wall and allow bacteria to enter the hernia field. Operations on the digestive track can introduce bacteria into the hernia field if proper sterile techniques are not followed. Primary suture closure of the hernia defect can help prevent contamination by closing off the opening in the hernia, but it is not a cause of contamination itself.Rate this question:
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- 3.
Planned ventral hernia is termed as such because the surgeon knows that the viscera are likely to protrude through the hernia defect after the first stage is complete, therefore a second surgery is anticipated.
- A.
False
- B.
True
Correct Answer
B. TrueExplanation
The explanation for the given correct answer is that a planned ventral hernia is termed as such because the surgeon knows that the viscera are likely to protrude through the hernia defect after the first stage is complete, therefore a second surgery is anticipated. This means that it is true that a second surgery is expected after the first stage is completed in a planned ventral hernia.Rate this question:
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- 4.
When infection is present and two-stage hernia repair is needed, what steps are involved in the first stage to treat the patient? Check all that apply.
- A.
Debriding of the wound
- B.
Draining of the wound
- C.
Antibiotic therapy
- D.
Repair of the wound with prosthetic mesh
Correct Answer(s)
A. Debriding of the wound
B. Draining of the wound
C. Antibiotic therapyExplanation
In the first stage of two-stage hernia repair when infection is present, several steps are involved to treat the patient. Debriding of the wound is necessary to remove any dead or infected tissue. Draining of the wound helps to remove any fluid or pus buildup. Antibiotic therapy is important to treat the infection and prevent its spread. However, repair of the wound with prosthetic mesh is not performed in the first stage as it is done in the second stage of the procedure.Rate this question:
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- 5.
What recent developments have allowed for definitive single-stage repair in the presence of contamination or infection?
- A.
Introduction of biological meshes
- B.
Component separation technique
- C.
Introduction of synthetic meshes
- D.
A & B
- E.
All of the above
Correct Answer
D. A & BExplanation
The recent developments that have allowed for definitive single-stage repair in the presence of contamination or infection are the introduction of biological meshes and the component separation technique. Biological meshes are used to reinforce the repair and promote tissue regeneration, while the component separation technique involves releasing and advancing the fascial layers to close the defect. These advancements have improved the outcomes of surgeries in contaminated or infected environments, allowing for a single-stage repair instead of multiple surgeries.Rate this question:
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- 6.
When the abdominal wall wound is so large that skin cannot be closed over it the surgeon may use an open abdomen approach, leaving the wound open to air until the patient has time to heal.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The open abdomen is never actually left open to air, instead the surgeon covers the
wound with a suitable dressing that protects the abdominal contents from drying out,
becoming infected or becoming necrotic.Rate this question:
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- 7.
An extreme increase in pressure within the abdominal cavity that disrupts blood flow to the organs is known as:
- A.
Abdominal compartment syndrome
- B.
Component separation
- C.
Open abdomen syndrome
- D.
A & C
Correct Answer
A. Abdominal compartment syndromeExplanation
Abdominal compartment syndrome refers to a condition where there is a sudden and significant increase in pressure within the abdominal cavity, leading to a disruption in blood flow to the organs. This can result in organ dysfunction and failure if not promptly treated. Component separation and open abdomen syndrome are not synonymous with abdominal compartment syndrome, so they are not the correct answers. Therefore, the correct answer is Abdominal compartment syndrome.Rate this question:
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- 8.
Surgeons attempt to reduce edema and advance wound closure by:
- A.
Performing component separation
- B.
Applying negative pressure to the wound
- C.
Bridging the wound gap with a biological mesh
- D.
A & B
Correct Answer
B. Applying negative pressure to the woundExplanation
Applying negative pressure to the wound can help reduce edema and advance wound closure. Negative pressure wound therapy involves placing a vacuum dressing on the wound, which creates a negative pressure environment. This helps to remove excess fluid and promote the healing process by increasing blood flow to the area. By applying negative pressure to the wound, surgeons can effectively manage edema and promote faster wound closure.Rate this question:
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- 9.
What morbidities are associated with planned ventral hernias? Check all that apply.
- A.
Exposed bowel, which is prone to fistula
- B.
Long hospital stay
- C.
Large, unsightly and possibly painful hernia bulge
- D.
Skin necrosis
Correct Answer(s)
A. Exposed bowel, which is prone to fistula
B. Long hospital stay
C. Large, unsightly and possibly painful hernia bulgeExplanation
Planned ventral hernias can be associated with several morbidities. One of these is exposed bowel, which is prone to fistula formation. This means that the intestines may protrude through the hernia and become exposed, leading to the formation of abnormal connections between the bowel and other organs or the skin. Another associated morbidity is a long hospital stay, as these hernias often require surgical intervention and postoperative care. Additionally, patients may experience a large, unsightly, and possibly painful hernia bulge, which can affect their quality of life.Rate this question:
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- 10.
Why was AlloDerm chosen as the biological mesh to be used in the 2005 study authored by Bradford Scott?
- A.
Because of AlloDerm’s ability to be used in a contaminated field
- B.
Because of AlloDerm’s ability to stretch significantly
- C.
Because of AlloDerm’s longevity in the market
- D.
All of the above
Correct Answer
A. Because of AlloDerm’s ability to be used in a contaminated fieldExplanation
AlloDerm was chosen as the biological mesh in the 2005 study authored by Bradford Scott because of its ability to be used in a contaminated field. This means that AlloDerm is effective even in situations where there is a high risk of infection or contamination. This quality makes it a suitable choice for surgeries or procedures that involve contaminated tissues or areas.Rate this question:
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Current Version
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Mar 21, 2023Quiz Edited by
ProProfs Editorial Team -
Feb 12, 2014Quiz Created by
EMEA
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