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HelloSurg course 8 assessment
HelloSurg course 8: Laparoscopy assisted Pull through for Hirschsprung’s disease
* Indicates required question
Where was the first port given
*
10 points
Through the umbilicus
At the superior rim of umbilical ring
Infra-umbilical
Right hypochondrium
Other:
What are the other two port positions?
*
10 points
Right flank
Right iliac fossa
Left hypochondrium
Left flank
Other:
Required
What were the positions of surgeon and assistant during operation?
*
10 points
Surgeon at right side towards head end and assistant at head end of patient
Surgeon at foot end of patient and assistant on the right side
Surgeon on the head end of patient and assistant towards foot end
Other:
How was the patient positioned?
*
10 points
Head down and left side up
Head up and left side up
Kept flat
Other:
Required
Why inferior mesenteric artery needed to be divided?
*
10 points
Surgeon's choice
To avoid vascular compromise
To gain adequate ganglionic segment for tension free pull through
Other:
Required
How the vascularity of the pulled through segment is ensured?
*
10 points
Keeping the marginal vessels intact
Avoiding adhesiolysis
Always dissecting close to colon wall
Other:
What important structure you need to protect during dissection?
*
10 points
Left ureter
Small intestine
Great vessels
Right ureter
Other:
What important structure in male child you need to protect?
*
10 points
Vas difference
Testicular vessels
Other:
Where from the resected segment you will send tissue for histopathology?
*
10 points
Upper end
Lower end
Dilated part
Other:
Without frozen section how it was decided where to resect?
*
10 points
There were markers of ganglionic segment from previous histopathology
Just a guess
At the dilated segment
Other:
Required
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