Differences between Indirect and direct inguinal hernia إقراء المزيد

IS A SIMPLE AND EFFECTIVE METHOD. STARTING WITHIN THE OPENED SAC, THE PERITONEUM AND UNDERLYING FIBROUS EDGES OF THE DEFECT ARE APPROXIMATED WITH A CONTINUOUS INTERLOCKING SUTURE OF STRONG CHROMICIZED CATGUT THE SAC IS THEN EXCISED 2 CM. DISTAL TO THE SUTURE AND ITS CUT EDGES ... إقراء المزيد

USING A LONGITUDINAL INCISION THE PERITONEUM IS IDENTIFIED AND DISSECTED DOWN TO THE NECK WITHOUT OPENING THE SAC IT IS PUSHED BACK IN THE ABDOMEN, AND BY A SERIES OF INVERTING SUTURES THE EDGES OF THE DEFECT ARE CLOSED VIEWED IN CROSS SECTION THIS REPAIR LOOKS ... إقراء المزيد

PROTRUSION OF A LOBULE OF EXTRAPERITONEAL FAT THROUGH A DEFECT IN THE INTERLACING FIBERS OF THE LINEA ALBA. IT MAY BE SINGLE OR MULTIPLE IT HAS NO SAC, WHEN IT ENLARGES IT MAY HAVE A SMALL CONICAL ONE WITH A PIECE OF OMENTUM AS CONTENTS CHANGING ... إقراء المزيد

:INDICATIONS CHILD OVER 2 YEARS DEFECT OVER 2 FINGERS FAILED STRAPPING HERNIA COMPLICATED :TECHNIQUE CRESCENTERICSUBUMBILICAL INCISION, DISSECTING THE HERNIAL SAC WHICH IS EXCISED AT THE PROPER NECK THE DEFECT IN THE LINEA ALBA IS REPAIRED WITH A FEW STITCHES A SUBCUTANEOUS DRAIN IS PUT TO BE ... إقراء المزيد

STRAPPING: INDICATED IF THE CHILD IS LESS THAN 2 YEARS THE DEFECT IS LESS THAN 2 FINGERS, AND THE HERNIA IS REDUCIBLE THE CONTENTS ARE REDUCED; THE SKIN IS RAISED IN A VERTICAL FOLD ON EITHER SIDE OF THE MIDDLE LINE AND ADHESIVE PLASTER TAPES ARE ... إقراء المزيد

AN ELLIPTICAL SKIN INCISION OVER THE DOME OF THE HERNIA, SKIN FLAPS ARE DISSECTED UP & DOWN THE SAC IS IDENTIFIED AND DISSECTED TILL THE NECK WHICH IS KNOWN BY THE GLISTENING WHITE FIBERS OF THE LINEA ALBA THE SAC IS OPENED AT THE NECK, THE ... إقراء المزيد

PRESENT SINCE BIRTH. DUE TO FAILURE OF THE MIDGUT TO RETURN TO THE COELUM IN FETAL LIFE DUE TO FAILURE OF THE 2ND STAGE OF ROTATION _1.EXOMPHALOS MINOR:_SMALL DEFECT PERSISTING AT THE UMBILICUS THROUGH WHICH A PERITONEAL SAC PROTRUDES THROUGH THE UMBILICAL CORD CONTENTS:LOOP OF INTESTINE ... إقراء المزيد

IS PREFERRED BY SOME SURGEONS BECAUSE IT PRESERVES BOTH THE SHUTTER AND VALVULAR MECHANISMS THE POSTERIOR WALL OF THE CANAL IS STRENGTHENED BY MEANS OF A TRIANGULAR FLAP OF ANTERIOR RECTUS SHEATH WHICH IS TURNED DOWNWARDS AT ITS LATERAL BORDER AND SUTURED TO THE INGUINAL LIGAMENT ... إقراء المزيد

* THE LOWER BORDER OF THE CONJOINED TENDON IS SUTURED TO THE INGUINAL LIGAMENT BEHIND THE SPERMATIC CORD BY MEANS OF 4 OR 5 SUTURES OF NON-ABSORBABLE SUTURE. IF THE SUTURES ARE TIED UNDER TENSION BECAUSE THE GAP IS WIDE, A TANNER'S RELEASE INCISION SHOULD BE ... إقراء المزيد