Inguinal Hernia
Definition
Congenital inguinal hernia is invariably an indirect hernia due
to nonclosure of processus vaginalis.
Objectives
• To reduce the contents of
hernia
• To
suture ligate the processus vaginalis at the deep ring.
Position
Supine.
Anesthesia
General with endotracheal intubation.
Procedure
1. A 2-3 cm long inguinal skin crease incision.
2. Divide the superficial and the deep layers of
subcutaneous tissue.
3. Divide external aponeurosis in line of its
fibers.
4. Identify the hernial sac and separate it from
the cremaster muscle.
5. Identify and separate the spermatic vessels
and the vas.
6. Isolate the hernial sac upto the deep ring.
7. Ensure complete reduction of the hernial
contents.
8. Suture ligate the neck of the sac.
9. Wide open the mouth of the sac distally.
10. Ensure scrotal placement of the testis.
11. Close the inguinal wound in layers.
Instruments
General pediatric set.
Sutures
• Catgut 3/0, 4/0
• Silk
3/0
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