Open inguinal hernia (Garrett Skinner)

Options

Preop

Met in preop

Prep

RIGHT LEFT timeout

Incision

Oblique incision

Exposure and cord islation

Standard exposure

Findings

Direct Indirect Indirect + Direct Weak floor

Hernia sac

Reduced Explored Resected

Tissue repair

Imbricate floor Direct hernia Ring closure

Mesh

Prolene keyhole 6.x1 x 13.7 cm

Secure the mesh.

Pubic tubercle 2-0 PDS Pubic tubercle 2-0 Prolene Shelving edge Superior border Flat

Recreate ext. ring

The external oblique fascia was closed in a running fashion with 2-0 Vicryl.

Closure and wakup

Closure and dressing Liberated