HERNIOTOMY

Operative Technique

Patient supine under General Anesthesia

Asepsis and antisepsis technique

Sterile drapes placed

Inguinal transverse incision made, carried from skin through subcutaneous tissue

External Oblique Aponeurosis cut and opened along its fibers

Ilioinguinal nerve identified and spared

Spermatic cord identified

Cremasteric muscle opened

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

High ligation of the hernial sac done.

Hemostasis

External oblique aponeurosis closed using vicryl 2.0 continuous interlocking sutures

Subcutaneous tissue reapproximated using chromic 4.0 interrupted sutures

Skin closed subcuticularly using vicryl 5.0 suture.

Betadine paint

Dry sterile dressing applied.