Groin and Scrotal Mass, Abdominal Wall Hernia

60

1. abdominal wall, inguinal and scrotal region

2. 2-4

1. abdominal wall, inguinal and scrotal region
2.

2.1 orchitis and epididymitis
2.2 undescended testis
2.3 hydrocele of testis
2.4 testicular tumor
2.1-2.4
5 3
2.5 varicocele
2.6 torsion of testis
2.7 inguinal lymph node enlargement
2.8 inguinal hernia
2.9 umbilical hernia
3.
4.
( 2)
orchitis and epididymitis 5
5.
( 3)
5.1 undescended testis
5.2 hydrocele of testis
5.3 testicular tumor

5.4 varicocele
5.5 torsion of testis
5.6 inguinal lymph node enlargement
5.7 inguinal hernia
5.8 umbilical hernia
6.
inguinal herniorrhaphy
7. hernia
8. incarcerated
hernia torsion of testis
9.


10. 1-7 8-9

1.
Abdominal wall, inguinal and scrotal region
2.

2.1 orchitis and epididymitis
2.2 undescended testis
2.3 hydrocele of testis
2.4 testicular tumor
2.5 varicocele
2.6 torsion of testis
2.7 inguinal lymph node enlargement
2.8 inguinal hernia
2.9 umbilical hernia
3. inguinal herniorrhaphy
3.1 open inguinal herniorrhaphy
3.1.1 anterior approach
-nonprosthetic (Bassinis, Shouldices, McVays)
-prosthetic (Lichtensteins, plug and plate)
3.1.2 posterior (properitoneal) approach
-nonprosthetic (iliopubic)
-prosthetic (Stoppa)
3.2 laparoscopic inguinal herniorrhaphy

3.3 complication of inguinal herniorrhaphy

3.3.1 acute (hematoma, seroma, spermatic cord edema, infection)
3.3.2 late (recurrence, neuralgia, ischemic orchitis and testicular atrophy, foreign body
reaction)
4. hernia
4.1 external hernia
4.1.1 ventral hernia
-congenital (epigastric, umbilical, Spigelian)
-acquired (incisional,parastomal)
4.1.2 inguinal hernia (direct, indirect, pantaloon, femoral)
4.1.3 lumbar hernia (Grynfeltts, Petits)
4.2 internal hernia
4.2.1 diaphragmatic, hiatal
4.2.2 mesocolic, paraduodenal, foramen of Winslow
4.2.3 pelvic hernia (obturator, sciatica foramina, perineum)
4.3 hernia
4.3.1 incarcerated, strangulated, sliding
4.3.2 Richters, Littres

1.
2.

1. ()
2.
varicocele torsion of testis
3.

4.

inguinal hernia, inguinal lymph node enlargement umbilical hernia
5.

6. role-play inguinal herniorrhaphy
7. hernia
8.

2
8
5

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5
10
10

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5

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2.
Video projector

1.
Seymour NE, Bell RL. Abdominal wall. In: Brunicadi FC, Anderson DK, Billiar TR, et al., editors.
Schwarts principle of surgery. 9th ed. New York: Mc Graw-Hill; 2009. P 1267-74.
2.
Sherman V, Macho JR, Brumicardi FC. Inguinal hernia. In: Brunicadi FC, Anderson DK, Billiar TR, et
al., editors. Schwarts principle of surgery. 9th ed. New York: Mc Graw-Hill; 2009. P 1305-41.
3. Malangoni MA, Rosen MJ. Hernias. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, et al.,
editors. Sabiston textbook of surgery. 18th ed. Philadelphia: Saunders; c2008. P 1114 -38.
4. Brunicadi FC, Anderson DK, Billiar TR, et al., editors. Schwarts principle of surgery. 9 th ed.
New York: Mc Graw-Hill; 2009.

1.
1.1
2.
2.1 Multiple choice question (MCQ) / short answer question (SAQ) / short
essay question (SEQ)
2.2
Modified essay question (MEQ) / constructed response question (CRQ)
2.3 Objective structured clinical examination (OSCE)
3.
3.1
Multiple choice question (MCQ) / short answer question (SAQ)
3.2 Objective structured clinical examination (OSCE)
4.
4.1
Multiple choice question (MCQ)
4.2
Modified essay question (MEQ)
4.3
Objective structured clinical examination (OSCE)
4.4
Long case examination