OPERATION: Right/Left Inguinal Hernia Open Mesh Repair
ANAESTHETIC: General anaesthesia
CEPOD: Elective
FINDINGS: Large indirect inguinal hernia.
PROCEDURE:
Incision along medial two-thirds of line joining ASIS with pubic tubercle.
Dissected down to and through external oblique aponeurosis.
Cord structures identified and preserved throughout.
Hernial sac identified and cleared all round down to deep inguinal ring.
Sac opened - confirmed no bowel content.
Sac suture-transfixed at base with Vicryl.
UltraPro mesh (6x11cm) applied. Secured medially to pubic tubercle, inferiorly to inguinal ligament, and lateral to deep ring. Interrupted sutures applied medially and superiorly.
External oblique aponeurosis closed laterally with Vicryl, creating new superficial inguinal ring.
Haemostasis ensured.
CLOSURE:
Interrupted sutures to subcutaneous tissue.
3-0 Monocryl subcuticular skin sutures. Dressings applied.
Testis confirmed in normal position post-operatively.
POST-OPERATIVE INSTRUCTIONS:
Avoid straining for 4-6 weeks. Eat and drink as tolerated.