Open Right Inguinal Hernia
Date of Surgery -
Preop Diagnosis -
Postop Diagnosis - same
Surgeon - Dr. Luk / Dr. Tran
Assistant Surgeon -
Anesthesia - General Anesthesia
Blood Loss - Minimal
Complication - None
Findings -
Specimens -
Procedure Performed- Open Right Inguinal Hernia Repair
Description of the procedure:
The proposed procedure was discussed with the patient along with alternatives. All risks and benefits were explained to the patient and he/she agreed to the procedure.
The patient was seen in the preop holding area. The site was marked with the patient.
Time-out was performed. The patient was prepped and draped using standard prep, a standard left inguinal hernia incision was performed using a #10 scalpel. Dissection down to the external oblique fascia was performed using electrocautery. The fascia was opened parallel to the direction with cord or the round ligament. The cord/round ligament was isolated using a Penrose drain.
The sac was identified.
The sac which was medial to the cord was identified and skeletonized down to the internal ring and then ligated using a 2-0 silk suture.
For repair, a Prolene Plug was placed into the internal ring and then sutured to the surrounding tissue using 2-0 Prolene suture.
The Patch which was placed on top of the inguinal floor, but below the external oblique fascia, was then placed into position. The tip of the patch was sewn to the pubic tubercle and the medial aspect of the patch was sewn to the transversalis fascia, and then the lateral aspect was sewn to the shelving edge of the inguinal ligament.
Next, we closed the external oblique fascia using interrupted 2-0 Vicryl suture. The wound was then irrigated and closed using absorbable suture. The patient tolerated the procedure well and transferred to the recovery room in stable and satisfactory condition.
At the end the case, all instrument, sponge, and needles were counted and reported to me as correct.
The patient tolerated procedure well, transferred to recovery room in stable and satisfactory condition.