CHAPTER 106: REPAIR OF DIRECT INGUINAL HERNIA (MCVAY)
Instead of approximating the transversalis fascia and the aponeurotic margin of the transverse abdominal muscle to the iliopubic tract and to Poupart’s ligament to repair either a direct or indirect hernia, the McVay repair attaches these musculotendinous structures to Cooper’s ligament and the lacunar ligament medially and the inguinal ...
Open Inguinal Hernia Repair - StatPearls - NCBI Bookshelf
2022年9月12日 · A direct hernia passes through a weakened area of transversalis fascia in the Hesselbach triangle (lateral edge of rectus abdominis, the inferior edge of the inguinal ligament, and medial to inferior epigastric vessels).
Inguinal Hernia - StatPearls - NCBI Bookshelf
2023年8月8日 · Healthcare professionals recommend repairing all symptomatic hernias to avoid complications. An open or laparoscopic approach can be used with the goal of defect closure and a tension-free repair. This activity reviews the pathophysiology of inguinal hernia and highlights the role of the interprofessional team in its management. Objectives:
Chapter 40. Inguinal Hernia Repair - McGraw Hill Medical
All symptomatic inguinal hernias (pain, neurologic symptoms) should be repaired unless a specific contraindication exists. Inguinal hernias that are incarcerated and are reduced in a timely fashion should be repaired on an urgent basis. Hernias that are unable to be reduced should be treated as a surgical emergency and repaired expeditiously.
Lichtenstein Repair of Inguinal Hernia - webop
In direct hernia the hernia sac usually does not have to opened. If the hernia sac is too large, it is reduced, suture ligated at its base and submerged below the level of the transversalis fascia; another option is to reduce the sac with a continuous purse string suture.
Inguinal Hernia: Types, Causes, Symptoms & Treatment - Cleveland Clinic
2022年4月26日 · Direct inguinal hernia: A direct inguinal hernia penetrates directly through the wall of your inguinal canal. This type of hernia occurs in adults over time, from a combination of weakening abdominal muscles and chronic pressure on the muscle wall.
Current options in inguinal hernia repair in adult patients
Today, inguinal hernias can be treated with very low complication rates. Open repairs like Lichtenstein operation can be performed with local anesthesia in a safe and economic way 12-14. Laparoscopic repairs are also very attractive options for patients.
Laparoscopic Inguinal Hernia Repair - StatPearls - NCBI Bookshelf
2023年7月3日 · There are many treatment options for patients with inguinal hernias including watchful waiting, open primary repair, open tension-free repairs with the use of mesh prosthetics, and laparoscopic repairs which are typically performed with mesh prosthetics.
Direct inguinal hernia | Radiology Reference Article - Radiopaedia.org
2024年2月21日 · Treatment is surgical repair which consists of reduction of the sac and reinforcement of the posterior wall of the inguinal canal, usually with a synthetic mesh.
A general practitioner primer on groin hernias - Australian Journal …
Indirect inguinal hernias arise from the deep inguinal ring, through which remnants of a persistent processus vaginalis (the hernia sac) may extend for a variable length down the inguinal canal. The inguinal canal also contains spermatic cord structures in males and the uterine round ligament in females.