HTHSCI 1DT3 Lecture 17: anatomy sur-68-75

• School: McMaster University
• Department: Health Sciences
• Course: HTHSCI 1DT3
• Professor: Carl Richards

Document Summary

~4% of male neonates have hernia ( c prems) Commoner on r (?damage to ilioinguinal n. @ appendicectomy muscle weakness) Processus vaginalis should obliterate following descent of the testes. If it stays patent it may fill with. Same 3 coverings as cord and descend into the scrotum. Can acquire internal and external spermatic fascia. Lump in groin which may descend into scrotum. May be clear ppting event: e. g. heavy lifting. Tension-free mesh (e. g. lichtenstein repair) better cf. suture repair (e. g. shouldice repair) Open approach can be done under la or ga. Lap approach allows bilateral repair and improved cosmesis. 1o unilateral repairs should be open (nice) Protrusion of viscus through the femoral canal. Femoral canal larger in females due to shape of pelvis and changes in its configuration due to childbirth. Neck inferior (and lateral) to the pubic tubercle. Low incision over hernia c herniotomy and herniorrhaphy (suture ing. ligt. to pectineal ligt. )