Inguinal Hernia

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Recall

What is the most commonly performed procedure by U.S. pediatric surgeons?
What is the most common inguinal hernia in children?
What is an indirect inguinal hernia?
What is Hesselbach's triangle?
What type of hernia goes through Hesselbach's triangle?
What is the incidence of indirect inguinal hernia in all children?
What is the incidence in premature infants?
What is the male-to-female ratio?
What are the risk factors for an indirect inguinal hernia?
Which side is affected more commonly?
What percentage are bilateral?
What percentage have a family history of indirect hernias?
What are the signs/symptoms?
What is the “silk glove” sign?
Why should it be repaired?
How is a pediatric inguinal hernia repaired?
Which infants need overnight apnea monitoring/observation?
What is the risk of recurrence after high ligation of an indirect pediatric hernia?
Define the following terms:

Cryptorchidism
Hydrocele
Communicating hydrocele
Noncommunicating hydrocele

Classic Intraoperative Questions During Repair of an Indirect Inguinal Hernia

From what abdominal muscle layer is the cremaster muscle derived?
From what abdominal muscle layer is the inguinal ligament (a.k.a. “Poupart's ligament”) derived?
What nerve travels with the spermatic cord?
Name the five structures in the spermatic cord
What is the hernia sac made of?
What attaches the testicle to the scrotum?
How can the opposite side be assessed for a hernia intraoperatively?
Name the remnant of the processus vaginalis around the testicle
What is a Littre's inguinal hernia?
What may a yellow/orange tissue that is not fat be on the spermatic cord/testicle?
What is the most common organ in an inguinal hernia sac in boys?
What is the most common organ in an inguinal hernia sac in girls?
What lies in the inguinal canal in girls instead of the vas?
Where in the inguinal canal does the hernia sac lie in relation to the other structures?
What is a “cord lipoma”?
Within the spermatic cord, do the vessels or the vas lie medially?
What is a small outpouching of testicular tissue off the testicle?
What is a “blue dot” sign?
How is a transected vas treated?
How do you treat a transected ilioinguinal nerve?
What happens if you cut the ilioinguinal nerve?