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Chapter 14 TEP
TEP hernia repair
20
Other
Undergraduate 1
01/10/2024

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Term
Inguinal
Definition
Above the abdomoniocrural crease.
Term
Reducible
Definition
Manual manipulation can return the hernia contents to the abdominal cavity.
Term
Irreducible
Definition
Manual manipulation cannot return the hernia contents to the abdominal cavity. Can become strangulated depending on viscera entrapment.
Term
Strangulated
Definition
Hernia with luminal viscera entrapment that compromises the vascularity of the viscera. Untreated strangulated hernia causes necrosis of viscera.
Term
Direct Inguinal Hernia
Definition
Acquired: Presents within Hesselbach's Triangle (bounded by the inguinal ligament, the inferior epigastric vessels, and the lateral border of the rectus abdominis)
Term
Indirect Inguinal Hernia
Definition
Congenital: Follows congenital defects that dilate the internal inguinal ring and pass through the deep inguinal ring to the scrotum. Hernia sac is generally confined to the spermatic cord and the posterior inguinal wall remains intact.
Term
Pantaloon
Definition
Both direct and indirect hernias are present.
Term
Incisional Hernia
Definition
Hernias at sites of previous surgery and stomal sites.
Term
Sliding Type Hernia
Definition
The abdominal viscera forms part of the hernia sac.
Term
Triangulate
Definition
Looking at the video monitor while moving the camera and holding instruments.
Term

Preoperative diagnostic tests and procedures

Definition

Diagnostic tests and procedures performed before the surgery to assess the patient's condition and determine the appropriate course of action.

Term

Dissecting Balloon

Definition

A specialized tool used to create a space beneath the rectus abdominis muscle, allowing access for the surgical procedure.

Term

Fiberoptic Light Source

Definition

A light source used in laparoscopic procedures, which should only be turned on after attaching the sterile connector to the laparoscope.

Term

Infraumbilical Incision

Definition

An incision made below the umbilicus (belly button) using a #15 knife blade.

Term

Anterior Rectus Sheath

Definition

The front layer of tissue covering the rectus abdominis muscle, which is incised and retracted to access the hernia site.

Term

Preperitoneal Space

Definition

The space between the abdominal wall and the peritoneum (the membrane lining the abdominal cavity) that is inflated with gas during the procedure.

Term

Inferior Epigastric Vessels

Definition

Blood vessels located in the lower part of the abdomen that are identified and retracted during the procedure.

Term

Iliopubic Tract

Definition

A structure in the lower abdomen that is identified to avoid injuring the nerves during the procedure.

Term

Cooper's Ligament

Definition

A ligament located near the pubic symphysis (the joint between the pubic bones) that is identified and dissected free from surrounding tissue.

Term

Spermatic Cord

Definition

The cord-like structure that contains the blood vessels, nerves, and ducts that supply the testicles, which is dissected free during the procedure.

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