Question 1: A 55-year-old male presents to the office with a large midline incisional hernia after undergoing an exploratory laparotomy for trauma 15 years ago. He is becoming increasingly symptomatic and desires repair. The defect measures 15 cm x 8 cm. You consent him for an open bilateral component separation and mesh placement. During initial fascial incision, you find that he has dense adhesions, and 5 full thickness enterotomies are made incidentally. There is some spillage of succus, and full thickness repairs are performed successfully in each of these locations. How would you proceed at this point?
Abort the hernia repair
Bridging polyglactin (Vicryl) mesh
Bilateral component separation without mesh
Bilateral component separation with biologic mesh
Bilateral component separation with permanent mesh
Over 400 challenging Surgery Shelf Board Review Questions targeted for use during clerkship rotations. The surgery questions included in these question banks have been hand selected by faculty who have taught for the Shelf Exams in the past (and who have taken the Surgery Shelf Exams themselves).
400 Surgery Shelf Board Review Questions & Answers
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