Operation Notes for Open Inguinal Hernia Repair

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Introduction

Operation Notes for Open Inguinal Hernia Repair: An inguinal hernia repair is a surgical procedure performed to correct an inguinal hernia, which occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The surgery involves pushing the protruding tissue back into place and reinforcing the abdominal wall with stitches or synthetic mesh.

Date: [Current Date]
Patient: [Patient’s Name]
Surgeon: [Surgeon’s Name]
Procedure: Open Inguinal Hernia Repair

Procedure

  • Positioning:
    • The patient was positioned supine on the operating table.
  • Skin Preparation:
    • The lower abdomen and groin were prepared and draped in a sterile fashion.
  • Incision:
    • A groin incision was made parallel to the inguinal ligament.
  • Dissection:
    • The subcutaneous tissues and Scarpa’s fascia were dissected to expose the external oblique aponeurosis, which was then opened to reveal the inguinal canal. The hernia sac was identified and dissected free from the cord structures.
  • Hernia Reduction:
    • The contents of the hernia sac were reduced back into the abdomen. If the contents were not reducible or appeared ischemic, further assessment and appropriate steps were taken (possible bowel resection).
  • Hernia Repair:
    • Once the hernia sac was emptied and ligated, a mesh repair was performed. The mesh was cut to the appropriate size and secured in place over the defect to reinforce the inguinal canal.
  • Closure:
    • The inguinal canal was then closed, and the external oblique aponeurosis was approximated with absorbable sutures. The subcutaneous tissues and skin were subsequently closed with absorbable sutures and dressed appropriately.
See also  Operation Notes for Thyroidectomy

Postoperative Plan: [As Suggested by Surgeon]

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