* 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

(Diagrammatic drawing of Anatomic hole (Myopectineal orifice ANATOMIC HOLE LOCATED BETWEEN THE FALSE PELVIS AND IPSILATERAL LOWER EXTREMITY THIS IS A WEAK AREA IN THE GROIN WHERE POSTERIOR LAYER IS NOT PROTECTED BY OVERLYING MUSCLE THE MYOPECTINEAL ORIFICE IS QUADRANGULAR IN SHAPE AND IS DIVIDED INTO ... إقراء المزيد

DIAGRAMMATIC DRAWING OF SURGICAL TREATMENT OF SLIDING INGUINAL HERNIA THROUGH MAKING A U-SHAPED INCISION AROUND THE BOWEL AND CLOSING IT LONGITUDINALLY AS IT IS IMPOSSIBLE TO SEPARATE THE SAC FROM THE BOWEL WHICH SHOULD, THEREFORE, BE ELEVATED WITH A FRINGE OF SAC إقراء المزيد

Diagramatic drawing showing the femoral opening, saphenous opening, and the femoral canal inbetween with the surrounding boundaries إقراء المزيد

Diagramatic drawing of the femoral canal with the femoral opening, saphenous opening and the canal inbetween with its boundaries إقراء المزيد

SPLENIC INJURY Most common intra- abdominal organ to injured (40-55%) 20% of splenic injuries due to left lower rib fractures Commonly arterial hemorrhage :CONSERVATIVE MANAGEMENT -Hemodynamic stability - Negative abdominal examination -Absence of contrast extravasation in CT - Absence of other indication of Laprotomy -Grade 1to ... إقراء المزيد

PANCREATIC INJURY Rare 10-20% of all abdominal injury Crush , Direct blow to abdo & Seat belt injury Associated with abdo. Duodenal injury, Vascular injury & liver injury Diagnosis – Difficult, High index of suspicion CECT Scan is helpful Serum amylase is a poor indicator Usually ... إقراء المزيد

LIVER INJURY Liver is the largest organ in abdomen 2nd most common organ injured_ (35-45%) _in BTA Driving and fighting responsible for 50% of deaths due to liver injury Usually venous bleeding 85% of all patients with blunt hepatic trauma are stable CT is the mainstay ... إقراء المزيد

An image showing Penetrating abdominal trauma with visceral evisceration إقراء المزيد

Diagramatic drawing of oblique abdominal incisions إقراء المزيد