HERNIOTOMY

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my operations

How I did It?

Operative Technique

Ø      Patient supine under General Anesthesia

Ø      Asepsis and antisepsis technique

Ø      Sterile drapes placed

Ø      Inguinal transverse incision made, carried from skin through subcutaneous tissue

Ø      External Oblique Aponeurosis cut and opened along its fibers

Ø      Ilioinguinal nerve identified and spared

Ø      Spermatic cord identified

Ø      Cremasteric muscle opened

Ø      Hernial sac identified and isolated. Freed from rest of spermatic cord structures up to internal ring.

Ø      High ligation of the hernial sac done.

Ø      Hemostasis

Ø      External oblique aponeurosis closed using vicryl 2.0 continuous interlocking sutures

Ø      Subcutaneous tissue reapproximated using chromic 4.0 interrupted sutures

Ø      Skin closed subcuticularly using vicryl 5.0 suture.

Ø      Betadine paint

Ø      Dry sterile dressing applied.