|
|
A D V E R T I S E M E N T
A D V E R T I S E M E N T
Bony landmarks of the anterior superior iliac spine and pubic tubercle are used to locate the position of the deep inguinal ring which is midway between them. The superficial inguinal ring is at the pubic tubercle and the inguinal canal lies between the two rings. The hernia incision is placed slightly cephalad to the inguinal canal. The superficial epigastric vessels cross the incision in the subcutaneous tissue and are ligated.
A D V E R T I S E M E N T
The external oblique aponeurosis is exposed and incised to open the inguinal canal. The ilioinguinal nerve is dissected free of the cord and mobilized safely out of the field. The cremaster is separated from the floor (back wall) of the inguinal canal and is always opened to inspect the cord for an indirect hernia. If a sac is present, it lies beneath the internal spermatic fascia.
Notes:
Link to this frame from your Personal Thumbnails page?
A D V E R T I S E M E N T
If an indirect hernia is found beneath the filmy internal spermatic fascia, it is dissected from the cord high into the deep ring and ligated there. The strips of cremaster muscle are usually excised for exposure of the inguinal floor if a formal hernia repair is to be done. In a young person with a pediatric type indirect hernia, a high ligation alone may suffice and the cremaster may be spared.
Notes:
Link to this frame from your Personal Thumbnails page?
Click the "Update" button to save your Notes and Personal Thumbnails.
This page was last modified on 1/31/1999.
Clinical Folios:
Abdomen,
Biliary/Pancreatic,
Breast,
Cardiothoracic,
Colorectal,
Embryology,
Genitourinary,
Gynecology,
Head and Neck,
Hernia,
Musculoskeletal,
Neurosurgery,
Ophthalmology,
Pediatric Surgery,
Plastic Surgery,
Radiology,
Soft Tissue/Sarcoma,
Surgical Anatomy,
Technique,
Trauma,
Vascular | |
Discussions,
SCALpels
Personal Pages:
Thumbnails,
Presentations,
Quizzes
Home,
Image Archive,
About Vesalius,
Keyword Search,
Glossary
Logout