Betadine scrub and paint were applied in a two step process followed by
application of sterile towel drapes.By Gregory E. Jeansonne
28yo">
By Gregory E. Jeansonne
28yo, Black Male with no relevant PMH or PSH.
CC: Swollen Right Groin with Occasional Pain.
PE: Diffuse Swelling in Right Inguinal Region. Non-Tender to palpation. Cough impulse transmitted through mass. Non-reducible.
Pre-Op Dx: Right Inguinal Hernia. Incarcerated with possible intermittent strangulation.
1. The Right Inguinal Region was prepared and draped in a sterile fashion.
Betadine scrub and paint were applied in a two step process followed by
application of sterile towel drapes.
2. Anterior Approach was used.
The skin incision was made parallel but superior to the inguinal crease (#10 Blade)
Hemostasis
obtained via Electrocautery (Bovie).
3. Contents of the Inguinal Canal were exposed.
Primarily using
Blunt Instrument and Digital dissection.
4. Canal Contents were separated from the Hernia sack.
Canal Contents were elevated with finger and dissected with pick-ups moving tissue medial
to lateral.
This approach leaves the Hernia Sack Elevated and Isolated.
5. Once Isolated, the Hernia Sack was opened and inspected.
scissors used to open the sack.
Sack Probed for abdominal or other contents with none identified.
6. After verifying that the sack was Empty, it was traced back to the Deep Inguinal Ring and Ligated.
Primarily via blunt dissection.
7. The Deep Inguinal Ring and Canal was reinforced with Non-Absorbable Sutures.
2-0 Prolene.
8. The Wound was Irrigated and Fascial layers were closed.
2-0 Vicryl 
9. Skin was stapled and dressed in a sterile fashion.
10. Post Operative Complications: None.
11. Patient discharged to home after sufficient observation in One-Day-Stay facility with one week follow-up in Clinic.
12. Final Clinic visit at two weeks for staple removal with no apparent long-term restrictions on activity related to operation.
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Revised: 05 August, 2002