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Herniotomy Step By step

  

-indicated in children with inguinal hernia & before herniorrhaphy in adults

-Procedure:

1-ligate & divide the 3 superficial veins
2-divide the external oblique aponeurosis in the direction of its fibers
3-reflect the external oblique aponeurosis &identify the ilioinguinal nerve & reflect it over the aponeurosis
4-separate the cord from posterior wall of the canal
5-divide the creamasteric muscle & internal spermatic fascia
6-dissect the hernial sac up to its neck
7-open the fundus of the sac
8-reduce the contents
9-transfix the sac at the deep ring
10-excise the redundant sac


There are different approaches to surgical repairs to hernia which may include the following:

Hernioplasty when herniotomy is combined with a reinforced repair of the posterior inguinal canal with autogenous (patient’s own tissue) or heterogenous material such as prolene mesh.

Herniorraphy is somewhat like hernioplasty only that no autogenous or heterogenous material is used for reinforcement.

Herniotomy is a surgical operation where the hernia sac is removed without any repair of the inguinal canal.
Read more: Discussion on Hernia Repair, Herniorraphy | Res Ipsa Loquitur - OR Nurse