Emea Hernia Binder Vhr Level 2

1. Most staged hernia repairs fall into which two categories?

Two-stage hernia repair & Open abdomen hernia repair

Two-stage hernia repair & Three-stage hernia repair

Open abdomen hernia repair & Three-stage hernia repair

None of the above

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."

Explanation

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."

2. 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.

False

True

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.

Explanation

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.

3. 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.

True

False

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.

Explanation

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.

4. An extreme increase in pressure within the abdominal cavity that disrupts blood flow to the organs is known as:

Abdominal compartment syndrome

Component separation

Open abdomen syndrome

A & C

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.

Explanation

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.

5. A hernia field may become contaminated as a result of (check all that apply):

Enterocutaneous fistula

Traumatic injury to the bowel

Operations on the digestive track

Primary suture closure of the hernia defect

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.

Explanation

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.

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6. Why was AlloDerm chosen as the biological mesh to be used in the 2005 study authored by Bradford Scott?

Because of AlloDerm’s ability to be used in a contaminated field

Because of AlloDerm’s ability to stretch significantly

Because of AlloDerm’s longevity in the market

All of the above

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.

Explanation

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.

7. What recent developments have allowed for definitive single-stage repair in the presence of contamination or infection?

Introduction of biological meshes

Component separation technique

Introduction of synthetic meshes

A & B

All of the above

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.

Explanation

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.

8. Surgeons attempt to reduce edema and advance wound closure by:

Performing component separation

Applying negative pressure to the wound

Bridging the wound gap with a biological mesh

A & B

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.

Explanation

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.

9. 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.

Debriding of the wound

Draining of the wound

Antibiotic therapy

Repair of the wound with prosthetic mesh

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.

Explanation

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.

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10. What morbidities are associated with planned ventral hernias? Check all that apply.

Exposed bowel, which is prone to fistula

Long hospital stay

Large, unsightly and possibly painful hernia bulge

Skin necrosis

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.

Explanation

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.

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