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Abdominal Recon
Quiz by Ariel
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​An otherwise healthy 47-year-old man comes to the office because of the recurrent ventral hernia shown. He does not smoke cigarettes. Physical examination shows "Swiss cheese–type" defects, which are confirmed by CT scan. He desires reconstruction. Which of the following is the most appropriate surgical treatment?
Total autologous component separation
Open reduction with free tensor fascia lata flap
Open hernia reduction with bridging mesh placement
Component separation with mesh placement
Laparoscopic hernia repair with mesh
An otherwise healthy 47-year-old man comes to the office because of the recurrent ventral hernia shown. He does not smoke cigarettes. Physical examination shows "Swiss cheese–type" defects, which are confirmed by CT scan. He desires reconstruction. Which of the following is the most appropriate surgical treatment?
A 45-year-old woman with rectal cancer is scheduled to undergo abdominoperineal resection and posterior vaginectomy following neoadjuvant chemotherapy and radiation therapy. Which of the following is the most appropriate method of reconstruction of the posterior vaginal defect? 
An otherwise healthy 55-year-old woman is diagnosed with squamous cell carcinoma of the vagina. Subtotal vaginectomy, vulvectomy, and inguinal lymph node dissection are performed. Bilateral sensate posterior thigh flaps are used for vaginal reconstruction. Which of the following nerves must be included in this procedure? 
To maintain innervated muscle flaps during abdominal component separation, which of the following is the most appropriate plane of dissection? 
A 29-year-old woman comes to the office because of a firm, mildly tender, well-circumscribed mass of the abdomen. A photograph is shown. The mass has been slowly increasing in size for the past 6 months. CT scan shows a mass that occupies the left musculofascial abdominal wall, including the rectus, external, and internal oblique muscles, and penetrates through the anterior rectus sheath. Which of the following is the most appropriate management? 
