University:
Swansea University
Course:
PM-139 | Human Physiology 1
Academic year:

2023
Views:

406

Pages:

5
Author:

Amal J.

HERNIO RRAPHYDefinition :Surgical repair of herniasometime specifically by apposition+ suturing of edges of defect.Types:plication of fascia transversalis ?3 vertical intersuptalsutures are applied on fasciatransveraslis by picking up Q pointsgiving gap of 1/2 inch in between.-Basini's : Deep inguinal rengwill be consi derably smallercaution in Donot injury epigastrickvessels.Basini repair:stitching lower margin ofinternal oblique and transeversemusles and conjoined tenden toenner margin of inguinal ligament behind spermatic cord.Incision:It is made 1/2 inch aboveand parallel to medial 2/2rd ofinguinal ligament.opening of inguinal canal :Skin and fascia of compareand incisedsecurring of superficialepigastric and superficial enternalpudental arteries.fascia of scarpa.Exposing aponeurosis ofenternal oblique musleIncision or aponeurosis andretractionEnposing internal oblique muscleIllioinguinal newe is kept above toavoid injury Identi fication of Sac :Incision on cremastericfascia and internal spormatic fasciaof cord containing Sac.save wall is dipped at oncewith pair of artery forceps.adhesion are divided bysharp disection separation of savefrom spermatic cord as highare possible untill neck of saris reached.constriction of neckcollar of entra peritonealtatInferior epigastri carterywill be seenAjust medical to neckof sac. strengthening of post wall ofin guinal canal :pulling down Lowermargins of enternal aponatrosis.interio r margin of conjointmuscles. and tendon at upperpart of wound and innermargins of inguinal ligamentat lower part of wound.I3con) H sutures withny con con prolene are appliedb/w low margin of conjoinedmargin of inguinal ligament(a)other side.care :while inserting medial sulturethe needle is actually passedthrough inguinal ligaments toenternal iliac vessels. posto perative care :Early ambulation patienis warned not to do Hernuouswork for period of 6 month.suture :material -silk - ,cotton,linen. silk worm, gut. nylon,denon catgent stainless, stellwire (or) even tan talum winenon absor bable suture /prolence sorve purpose very.well if applied properly.