APPLIED ANATOMY · PRIMARIES SURGERY

Inguinal canal anatomy → open hernia repair — 32M

8 decision points ~18 min Difficulty 3/5 Primaries

Setting

You are the surgical registrar taking a Year-1 resident through their first assisted open Lichtenstein repair for a right-sided reducible inguinal hernia. You quiz them at each step to anchor the anatomy.

Patient

Mr K, 32-year-old lorry driver, elective open right inguinal hernia repair. Preoperative diagnosis was clinically an indirect hernia. He is fit, non-smoker, BMI 24. Local + sedation planned. Skin marked, patient supine.

Reference stack

Bailey & Love 28e Ch 71 · Last's Anatomy 12e · Sabiston 21e Ch 43 · EHS 2018 groin hernia

Start cascade →

You'll be asked to decide what happens next at each step. There's no timer — take your time. The correct answer + evidence-anchored rationale is revealed after each choice.