Hernia Surgery

Question 1

which nerve runs along the spermatic cord during inguinal hernia repair

Answer 1

ilioinguinal nerve

Question 2

how do you avoid injury to ilioinguinal nerve during inguinal hernia repair

Answer 2

lift external aponeurosis prior to incising onto the spermatic cord, nerve runs along anterior aspect of spermatic cord

Question 3

where does iliohypogastric nerve run during inguinal hernia repair

Answer 3

superior to inguinal canal and passes through external oblique aponeurosis superior to external ring

Question 4

where does the femoral branch of the genitofemoral nerve run

Answer 4

travels beneath the inguinal ligament, does not enter inguinal canal

Question 5

where does the genital branch of the genitofemoral nerve run

Answer 5

runs within the spermatic cord

Question 6

function of the ilioinguinal nerve

Answer 6

sensory innervation to:

• upper inner thigh
• base of penis/scrotum (men)
• mons pubis and lateral aspect of labia (women)

Question 7

function of iliohypogastric nerve

Answer 7

motor:
- abdominal muscles

sensory:

• skin of posterolateral gluteal region
• skin over abdomen

Question 8

function of femoral branch of genitofemoral nerve

Answer 8

sensory:

• anterior thigh
• anterior scrotum (men)
• mons pubis (women)

Question 9

function of genital branch of genitofemoral nerve

Answer 9

motor:
- cremaster muscle (men)

sensory:

• anterior scrotum (men)
• mons pubis and labia majora (women)

Question 10

what maneuver can you do to help reduce an obturator hernia

Answer 10

incise the obturator membrane

Question 11

boundaries of obturator foramen

Answer 11

• superior: superior pubic rami

- other borders: ischial rami

Question 12

Where is the myofascial release done in an anterior component separation?

Answer 12

At external oblique LATERAL to linea semilunaris

Question 13

Where is the myofascial release done in a posterior component separation?

Answer 13

Posterior to rectus muscle at Tranverse abdominus aponeurosis, medial to linea semilunaris