StayCurrentMD · Female Neonatal Inguinal Hernia Repair Dr. Tamer Ashraf Wafa
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Video4 min·Published Jul 2021Older

Female Neonatal Inguinal Hernia Repair Dr. Tamer Ashraf Wafa

With Dr. Tamer Ashraf Wafa · StayCurrentMD
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What the experts said12 expert statements
Incision is placed in the lower abdominal crease for female neonatal inguinal hernia repair.
ClinicalTamer Ashraf Wafa
Subcutaneous tissue and Scarpa's fascia are bluntly dissected in this approach.
ClinicalTamer Ashraf Wafa
Palpating the hernial sac helps in its location and grasping.
ClinicalTamer Ashraf Wafa
The sac and its coverings are bluntly dissected and exteriorized.
ClinicalTamer Ashraf Wafa
The coverings are peeled off the sac until the extraperitoneal fat is reached.
ClinicalTamer Ashraf Wafa
The sac is opened to check for a sliding fallopian tube in female inguinal hernia repair.
ClinicalTamer Ashraf Wafa
The round ligament is identified during female inguinal hernia dissection.
ClinicalTamer Ashraf Wafa
In this case, no fallopian tube was found in the hernial sac.
ClinicalTamer Ashraf Wafa
The sac is twisted and transfixed at the proper neck using 4-0 absorbable suture.
ClinicalTamer Ashraf Wafa
The external inguinal ring is closed using one or two absorbable stitches.
ClinicalTamer Ashraf Wafa
Scarpa's fascia is closed by inverted absorbable sutures.
ClinicalTamer Ashraf Wafa
The skin is closed by subcuticular sutures in this technique.
ClinicalTamer Ashraf Wafa