Open inguinal hernia

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

Reduce Explore Resect hernia sac

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 Flat Shelving edge Superior border

Close external oblique

Close external oblique with Vicryl

Closure and wakup

Closure and dressing Liberated