Exam 13: Hernia Repair

A 49-year-old male had a laparoscopic hernia repair with good results and an uneventful recovery.Weeks later,as he reviewed his hospital bill,he noted that he had been charged for a preperitoneal distention balloon,polypropylene mesh,an endomechanical stapler,fibrin glue,and three endosurgical trocars.Which hernia repair technique was most likely performed on the patient?

The mesh-plug open hernia repair technique is indicated for which type(s)of hernias?

A 37-year-old physically active male is getting dressed to return home from the emergency department (ED)after he experienced a large,tender bulge in his scrotum while straining at the toilet.The ED physician reduced the patient's indirect inguinal hernia and referred him to a general surgery practice for elective herniorrhaphy.The ED nurse prepared the patient for his discharge.An appropriate nursing intervention by the ED nurse would be to:

Implantable mesh prosthetics can be made of synthetic,biosynthetic,or biological material.What is the primary advantage of biologic mesh?

Ryan has an indirect hernia that is characterized by a small neck,thin walls,and close attachment to the cord structures.Marc has a hernia with a short,wide neck,and a thick-walled sac.Based on this description,Ryan has a(n)____________ hernia and Marc has a(n)__________ hernia.

Select the most common hernia that occurs in both men and women.

A 4-year-old preschooler is scheduled for bilateral inguinal hernia repair.He is in the preoperative waiting lounge with his mother while his father looks for a parking space.The mother does not speak English,and she seems confused and intimidated as the perioperative nurse approaches.The surgeon has just marked both inguinal sites with his initials.The mother appears to indicate that the surgery will take place only on the right side; however,the consent states bilateral and is signed by the father.The perioperative nurse's first appropriate response should be to:

A 37-year-old active male is in the postanesthesia care unit (PACU)recovering from a hernia repair and preparing for discharge.The perianesthesia nurse,after reading the nursing assessment from the preoperative documentation,prepares to complete the patient's discharge education.The best practice in ensuring that the patient understands the information would be to:

What is the anatomical component of the lining of the herniated abdominal weakness and the hernia sac?

Select the triad of the boundaries of the Hesselbach triangle.

An example of a common postoperative complication related to inguinal hernia surgery is:

Femoral hernias occur more frequently in which group of individuals?

A 37-year-old physically active male arrived at the preoperative receiving and waiting lounge of the ambulatory surgery center for an elective herniorrhaphy.His perioperative nurse introduced herself and began his preoperative nursing assessment.The patient wanted to know when he would be able to get back to work and resume his place as pitcher on his softball team.He also told the nurse that he planned to do some yard work today as soon as the anesthesia "wears off." Which one of the following nursing diagnoses is given priority in both preoperative and postoperative education?

Contributing factors to hernia formation include age,gender,previous surgery,obesity,nutritional status,and pulmonary and cardiac disease.The formation of the hernia at a site of weakness is due to any number of conditions that cause:

The anterolateral abdominal wall consists of an arrangement of muscles,fascial layers,and muscular aponeuroses lined interiorly by peritoneum and exteriorly by skin.The key landmark of the _____________ designates the roof of the inguinal canal,and the key landmark of the __________ designates the floor of the inguinal canal.

Regardless of the hernia type,the mesh-plug technique is performed on an ambulatory basis,through a small incision,often laparoscopically.Which advantage of the mesh-plug technique increases patient comfort,speeds rehabilitation,and contributes to a low recurrence rate?

Which hernia type occurs within the Hesselbach triangle?

Hernia-entrapped viscera,typically loops of small intestine,will result in intestinal obstruction with resulting pain,vomiting,and distention.What is the appropriate descriptive diagnosis of this condition?

Depending on their location,hernias are classified as direct inguinal,indirect inguinal,femoral,umbilical,incisional,or epigastric.Hernias in any of these groups are either reducible or nonreducible.The characteristic "reducible" hernia can best be described as a hernia:

Identify the triad of anatomic sites of abdominal wall weakness with a potential for hernias.