Surgical repair of hernia is?

Appeared in: Daman & Diu Staff Nurse - 2018

Explanation

Herniorrhaphy is the specific medical term for the surgical repair of a hernia by suturing the defect in the muscle wall.
The suffix '-rrhaphy' is derived from the Greek word for 'suture,' indicating the method of repair.
This procedure uses the patient's own tissues to close the opening, distinguishing it from a hernioplasty, which uses a mesh.
It is a fundamental procedure for correcting hernias and preventing complications like strangulation.

Option A: Fistulectomy is the surgical excision of a fistula, which is an abnormal tract or passage. It is a completely different procedure for a different condition.
Option C: Herniectomy is not a standard or precise medical term. The procedure to remove the hernia sac is called a herniotomy.
Option D: Laparoscopy is a surgical approach or technique that uses a camera and small incisions (keyhole surgery). It is not the name of the repair itself.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Surgical terminology for hernia repair as background academic context rather than a clinical decision trigger.
Nurses must understand the difference between suture repair (herniorrhaphy) and mesh repair (hernioplasty) to provide accurate patient education on potential long-term outcomes and complications.
Post-operative nursing care for any hernia repair focuses on preventing increased intra-abdominal pressure (e.g., from coughing, straining, or constipation) to protect the surgical site and prevent recurrence.
What if? If the patient had a large or recurrent hernia, the surgeon would likely perform a hernioplasty (using mesh) instead of a simple herniorrhaphy. This provides a stronger, tension-free repair and reduces the risk of the hernia returning.

How to Approach the Question

This is a factual recall question that tests your knowledge of surgical terminology.
First, identify the key concepts in the question stem: 'surgical repair' and 'hernia'.
Next, analyze the options by breaking down the medical terms. The prefix 'hernio-' relates to a hernia.
Consider the suffixes: '-ectomy' means removal, '-rrhaphy' means suture or repair, and '-scopy' means to view or examine.
Based on this, 'Herniorrhaphy' (hernia repair) directly matches the question's request.
Eliminate the other options: Fistulectomy relates to fistulas, Herniectomy is an imprecise term, and Laparoscopy is a technique, not the repair itself.

Concept Tested & Keywords

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E6 Nelson Textbook of Pediatrics(2024) — Volume 2 pp. 202-204, 192-194

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