Inguinal hernia

[b]A 3-month-old ex-25 week infant has failure to thrive and bilateral groin bulges. He is scheduled for laparoscopic gastrostomy tube placement and inguinal hernia repair. Following placement of the gastrostomy tube the inguinal region is assessed. Below is the laparoscopic image of the left inguinal region. What is the best option for hernia repair in this 3-month-old infant? a High Ligation b High Ligation and Tissue Repair c Tissue Repair alone d Synthetic mesh repair e Biologic mesh repair[/b]

any one want link of HQ video please contribute with one thread to forums, and I will sent it to you by email Edit: Available without restrictions in next post

see video in second post [center]Pediatric Open Herniotomy in boys. 15 Minutes Unedited. Dr Tamer Ashraf Wafa [/center]

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[size=20px]You are asked to assess a former 32 week premature male infant with bilateral inguinal hernias. He is now 60 weeks corrected gestational age. An advantage of laparoscopic inguinal hernia repair compared to the open approach is the decreased: a Need for general anesthetic b Risk of complications c Operative time for bilateral inguinal hernias d Operative time for unilateral inguinal hernias e Rate of recurrence​[/size]

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[center] Herniotomy in a Neonate (1 month old boy). By Dr Tamer Ashraf Wafa, PhD, MRCS see in next post [/center]

[center] Female Neonatal Inguinal Hernia Repair. Dr Tamer Ashraf Wafa, PhD, MRCS see in next post [/center]

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[size=20px]A 15 year-old girl presents to clinic with an inguinal hernia. You discuss the options of open or laparoscopic repair since you are familiar with both techniques. The patient and family opt for laparoscopic high ligation of the patent processus vaginalis. In the operating room, the patient is found to have a direct hernia only. What is the best management of this unexpected finding? A Open high ligation B Open tissue repair C Open mesh repair D Laparoscopic high ligation E Laparoscopic tissue repair[/size]

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[size=20px]A 17 year old boy presents with bilateral inguinal hernias. Discussion about the repair includes both high ligation and repair with polypropylene mesh. Which complication is unique to repair with mesh? A Recurrence B Nerve injury C Infection. D Fibrosis of the vas. E Post-operative pain.​[/size]

[size=20px]A 3-month-old infant is scheduled to have an elective inguinal hernia repair at 0730. The preoperative nurse calls you concerned that the parents gave the baby Pedialyte at 0500 before they left home as the baby was crying. The baby consumed 5 oz of formula at 2300 the night before. What time should you perform the procedure? A 0730 B 0900 C 1100 D 1300 E Reschedule for another day[/size]

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[size=20px]You are consulted for an inguinal hernia in a 6 month old former 30 week premature boy in the NICU. He has intermittent periods of being fussy, but has not had incarceration of the hernia. The family expresses concern over general anesthesia and potential effects on neurodevelopmental outcomes. Based on data from prospective trials in humans, when should you suggest the ideal time to repair this hernia would be with regards to neurologic outcomes? A At diagnosis B 6 months C 12 months D 24 months E 36 months[/size]