General inguinoscrotal diseases

[size=6]A 6-year-old boy presents with a groin bulge. You cannot appreciate the bulge in the clinic, but it is a reliable story from mom and the pediatrician. You decide to approach this laparoscopically. When inserting the camera you identify what you think is a femoral hernia. What is the best next step in this child’s management? a Open repair with mesh plug b Laparoscopic high ligation c Laparoscopic repair with patch d Open muscle repair[/size]

[size=20px]A ten-year-old girl presents to the emergency department with bilious emesis and groin pain six hours prior to arrival. She is mildly distended with a visible mass in the right inguinal region. The mass cannot be reduced. At laparoscopy the right internal ring appears closed. However, an inferomedial defect is identified consistent with a femoral hernia. The recommended operative repair for this child is? A Inversion of the hernia sac with closure of the external oblique aponeurosis B Placement of preperitoneal mesh C High ligation of the hernia sac D Approximation of the transversalis fascia to Cooper’s ligament E Approximating the transversalis…

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First one with correct answer with justification win. [size=20px]A six-month old boy presents with a reducible right inguinal hernia. Which one of the following hernia repair operative techniques has a lowest rate of wound infection? A open high ligation and resection of sac B laparoscopic high ligation of sac C total extraperitoneal (TEP) hernia repair D transabdominal preperitoneal (TAPP) hernia repair[/size]

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First one with correct answer with justification win. An 11-month old boy is undergoing right inguinal hernia repair. [size=20px]Laparoscopy of the contralateral (left) side is shown. The next best step is A renal ultrasound. B computerized tomography scan of the abdomen. C exploration of the left groin. D laparoscopic gonadal biopsy.[/size]

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First one with correct answer with justification win. A two-year old presents with a right scrotal mass and thickened inguinal cord suggestive of an inguinal hernia. His left testicle is normal and descended. On exploration of the right groin, two testes and two vas deferens are identified along with the hernia sac. [center][/center] [size=20px]In addition to high ligation of the hernia sac, this patient should have A both testes placed in the right scrotum. B removal of both testes. C yearly ultrasounds to evaluate the testes. D biopsy of both testes.[/size]

First one with correct answer with justification win. [size=20px]You see a five-year old boy referred for retractile testes. He had previously had a inguinal hernia repair at one year of age. On your exam today, the right testis is palpable subcutaneously inferior to the external inguinal ring but cannot be brought down into the hemiscrotum. This condition following hernia repair is best described as A entrapped testis. B ascending testis. C ectopic testis. D retractile testis. E vanishing testis.[/size]

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