Emergency Hernia Repair
Objective
To relive obstruction in case of:
• Obstructed or
strangulated hernia.
Procedure
1. If the history is short,
the sac will frequently be empty.
2. There is no point in
exploring the abdomen. Repair the hernia as for an elective repair.
3. If bowel is present in
the sac, incise sac and drain out exudate.
4. Examine bowel and dilate
the margins of the sac.
5. If the bowel is viable,
return it to the abdomen.
6. If necessary, resect a
gangrenous segment of bowel performing on end to end anatomosis.
7. Carry out a hernial
repair.
8. Close wound in layers.
Instruments
• Hernia set
• Gastrointestinal
set
Any questions be sent to drmmkapur@gmail.com
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