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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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