Johnson & Johnson Institute
Inguinal hernia repair open
Operative steps
- Generally, an incision is made over the inguinal canal, and it is carried down through the subcutaneous tissues.
- Scarpa’s fascia is then identified and incised. If needed, hemostasis may be obtained using electrocautery.
- The external oblique is identified. Typically, a small incision is made in the external oblique, and the Facia is separated and opened towards the external inguinal ring.
- The external oblique is generally retracted laterally to expose the inguinal canal, as well as the cord structures.
- The cord structures are dissected away from the pubic tubercle. Commonly, a Penrose drain is placed around the cord structures for retraction.
- Dissection on the cord structures is typically performed mediately to laterally to identify the indirect hernia sac.
References
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
George Crawford, MD prepared this procedure guide on behalf of Johnson & Johnson and its affiliates. The procedure guide reflects the opinions of the individual presenter, and the steps described may not encompass the complete steps of the procedure. Additionally, other surgeons may prefer different techniques, approaches, etc., as individual surgeon experience in his/her clinical practice, as well as patient needs, may dictate variation in procedure steps.
Before using any medical device, review all labeling, including without limitation; the Instructions For Use (IFU), and relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device(s).
This presentation is not accredited for CE/CME.
George Crawford, MD is compensated by and presenting on behalf of Johnson & Johnson and its affiliates and must present information in accordance with applicable regulatory requirements.
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