Abdomen: Abdominal Hernia
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BOARD 1
1. Anterior view: abdominal quadrants
2. Transverse section of abdominal wall
3. Dissection to abdominal muscles
4. Dissection to viscera
BOARD 2
1. Anterior view: normal anatomy with omentum
2. Sagittal view: normal anatomy
BOARD 3
1. Sagittal view: abdomen with omental adhesions
BOARD 4
1. Sagittal view: normal anatomy
2. Detail: mesentery, small bowel, peritoneal cavity and abdominal wall
3. Detail: section through small bowel and mesentery
BOARD 5
1. Anterior view: normal anatomy
2. Normal anatomy of mesentery
BOARD 6
1. Anterior view: female thorax and abdomen
2. Sagittal view: female thorax and abdomen
BOARD 7
1. Sagittal view: male thorax and abdomen
BOARD 8
1. Sagittal view: female thorax and abdomen
BOARD 9
1. Anterior view (male): abdomen (skin)
2. Anterior view (male): partial dissection of abdominal wall
BOARD 10
1. Anterior view (female): abdomen (skin)
2. Anterior view (female): partial dissection of abdominal wall
BOARD 11
1. Anterior view: dissection of abdominal muscles
BOARD 12
1-6. Anterior view: dissection through abdomen
BOARD 13
1. Anterior view: incisional hernia
2. Cross section: incisional hernia
3. Anterior view: mesh in abdomen
4. Cross section: repair of hernia with mesh
BOARD 14
1. Orientation view: normal anatomy
2. Transverse section: normal anatomy of abdomen wall
3. Orientation view: anterior view of hernia
4. Transverse section: incisional hernia
BOARD 15
1. Exposure of abdominal musculature
BOARD 16
1. Exposure of peritoneum
BOARD 17
1. Release of external obliques laterally and midline suturing of rectus abdominis
BOARD 18
1-4. Repair of abdominal wall laxity
BOARD 19
1. Incision over hernia
2. Surgical view: hernia under fascia
3. Reduction of omentum from under peritoneum
4. Mesh sutured under peritoneum
5. Fascia sutured
6. Transverse view: abdomen wall restored
BOARD 20
1. Anterior view: locations of trocar placement sites, Veress needle insertion, Gortex graft, area of scarring, perforation site
BOARD 21
1. Trocar placement
BOARD 22
1. Surgical view: open laparoscopic technique, grasping peritoneum
2. Hasson trocar placed in abdomen under direct vision through incision
3. Anterior view: Hasson trocar placed in abdomen
BOARD 23
1. Orientation of hernias
2. Transverse section: Spigelian hernia and direct inguinal hernia
3. Transverse section: inguinal hernia (small bowel added)
BOARD 24
1. Orientation of surgiports and hernias
2. Gore-tex mesh over all hernias
BOARD 25
1. Anterior view: Hasson trocar placed in abdomen
2. Sagittal view: abdomen insufflated
3. Complex hernia: laparoscopic view
4. Complex hernia: cross section
BOARD 26
1. Trocar placement
2. Omental adhesions lysed
3. Reduction of hernia contents
4. Exposure of defects
5. Dual-mesh tacked to abdominal wall
BOARD 27
1. Anterior view: Hasson trocar placed in abdomen
2. Sagittal view: omental adhesions with Hasson trocar
3. Laparoscopic view: omental adhesions
4. Sagittal view: abdomen insufflated
BOARD 28
1. Anterior view: Hasson trocar placed in abdomen
2. Laparoscopic view: omental adhesions bluntly dissected
3. Laparoscopic view: bowel bluntly dissected from anterior abdominal wall
4. Anterior view: additional trocar placed in lower left quadrant
5. Laparoscopic view: hernia sac mobilized off anterior abdominal wall
6. Laparoscopic view: mesh tacked to anterior abdominal wall covering defect
BOARD 29
1. Anterior view of abdomen with 3 ventral defects and laparoscopic ports
2. Laparoscopic view of incarcerated omental hernia with 2 smaller defects
3. Laparoscopic view of omentum reduced and adhesions taken down exposing 3 ventral defects in anterior abdominal wall
4. Laparoscopic view of peritoneum reflected laterally
5. Laparoscopic view of Prolene mesh tacked over defects
6. Anterior view: mesh in place
BOARD 30
1-2. Simple hernia: laparoscopic view and cross section
3-4. Complex hernia: laparoscopic view and cross section
BOARD 31
1. Trocar placement
2. Omental adhesions
3. Reduction of hernia contents
4. Exposure of defects
5. Dual-mesh tacked to abdominal wall
BOARD 32
1-2. Normal anatomy of anterior abdominal wall
3. Anterior view with supraumbilical diastasis and infraumbilical hernia
4. Cross section: supraumbilical diastasis
5. Lateral view with supraumbilical diastasis and infraumbilical hernia
6. Cross section: infraumbilical hernia
BOARD 33
1. Anterior view with supraumbilical diastasis and infraumbilical hernia
2. Cross section: infraumbilical hernia
3. Anterior view: repair of hernia
4. Cross section: primary repair of hernia
5. Detail: sutures in midline
BOARD 34
1. Anterior view with supraumbilical diastasis and infraumbilical hernia
2. Cross section: infraumbilical hernia
3. Anterior view: mesh repair of hernia
4. Cross section: mesh repair of hernia
5. Detail: sutures in midline
BOARD 35
1. Sagittal view: normal anatomy
2. Detail: mesentery, small bowel, peritoneal cavity and abdominal wall with overlay of Gore-Tex patch and sutures
3. Detail: tiny perforation on the mesenteric border of small bowel
BOARD 36
1. Layers of the small bowel with mucosal lining
2. Layers of the diverticulum with mucosal lining
BOARD 37
1. Sagittal view: mesh, abscess and perforation in bowel
2. Detail: mesh, abscess and perforation in bowel
3. Anterior view: open anterior abdominal wound with granulation and small perforation in bowel
4. Detail: open anterior abdominal wound with granulation and small perforation in bowel
BOARD 38
1. Orientation
2. Injury happening
3. Subsequent condition
BOARD 39
1. Orientation with fistula
2. Detail: enterocutaneous fistula