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HIT 207 – Lab Exercise #7 Read the operative report and answer the questions below. PREOPERATIVE DIAGNOSIS: Left inguinal hernia. POSTOPERATIVE DIAGNOSIS: Large left inguinal hernia, direct. PROCEDURE: Repair of large direct left inguinal hernia with Prolene Hernia System Mesh (PHS) and resection of lipoma of the cord. FINDINGS: Large direct left inguinal hernia and large lipoma of the cord. DESCRIPTION OF PROCEDURE: After routine preparation, the patient was prepped and draped under general anesthesia in supine position. The bladder was decompressed with a Foley catheter. An incision was made in the left groin parallel to the left inguinal ligament after the skin had been infiltrated with 0.5% plain Marcaine. Subcu was incised. Superficial epigastric vessels were identified, clamped, transected and ligated with 2-0 Vicryl. Scarpa’s was incised. The external oblique aponeurosis was identified and incised. The incision was carried down to the external ring superior to the internal ring. The ilioinguinal nerve was identified, freed from the
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  • Fall '19
  • Inguinal hernia

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