Inguinal Hernia
Objective
Repair of hernial defect in case of:
• All indirect hernias
• Symptomatic and large
direct hernia.
Position
Supine.
Anesthesia
General/regional/local.
Incision
Two cm above the medial two-third of the inguinal ligament.
Procedure
1. Incise external oblique
aponeurosis.
2. Mobilize indirect sac
from within the cord; excise the cremaster.
3. Transfer indirect sac at
the internal ring and excise the redundant portion.
4. For direct hernias
separate cord structures from the sac and then reduce sac.
5. Divide transversalis
fascia all along the canal floor.
6. Approximate the conjoint
tendon and transversalis fascia (upper leaf) to the lower leaf of transversalis
fascia and inguinal ligament using interrupted nylon or prolene sutures
7. If the defect is large or
tissues are weak a mesh can be fixed between inguinal ligament and conjoint
tendon
8. Replace cord in the new
floor
9. Close the wound in the
layers.
Instrument
Hernia set.
Any questions be sent to drmmkapur@gmail.com
All older posts are stored in archives for access and review.
Visitors that follow may post contributions to the site,please write to address above.
To create consumer/provider engagement visit www.surginstruatlas.blogspot.com
