In this video, the surgical treatment of inguinal hernia in a 3 week old girl is demonstrated. The main focus of this video is to illustrate how to ligate and divide the hernial sac at the proper neck through a limited lower abdominal crease incision. The surgical treatment of inguinal hernia in small babies should be performed once the diagnosis has been made. The operative steps and tissue planes are clearly demonstrated. The video shows the surgeon's point of view (POV).
In this procedure, the operative steps are played in normal speed while some of the steps is played in faster speed for illustration purpose.The original video is 15 minutes.
Surgical steps a discribed in the subtitles during the video. This is an educational video designed for junior pediatric surgeons in training.
Tamer Ashraf Wafa PhD, MRCS
Type: video · 4 min · posted 2021-07-22 Canonical: https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354 ## Chapters - [0:00](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=0) Female Neonatal Inguinal Hernia Repair Technique ## Statements - "Incision is placed in the lower abdominal crease for female neonatal inguinal hernia repair" — Tamer Ashraf Wafa (clinical) [0:00](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=0) - "Subcutaneous tissue and scarpa's fascia are bluntly dissected" — Tamer Ashraf Wafa (clinical) [0:30](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=30) - "Palpating the hernial sac helps in its location and grasping" — Tamer Ashraf Wafa (clinical) [0:45](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=45) - "The sac and its coverings are bluntly dissected and exteriorized" — Tamer Ashraf Wafa (clinical) [1:00](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=60) - "Coverings are peeled off the sac until extraperitoneal fat is reached" — Tamer Ashraf Wafa (clinical) [1:20](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=80) - "The sac is opened to check for a sliding fallopian tube" — Tamer Ashraf Wafa (clinical) [2:00](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=120) - "The round ligament is clearly seen in female inguinal hernia repair" — Tamer Ashraf Wafa (clinical) [2:20](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=140) - "No tube was found in this case" — Tamer Ashraf Wafa (clinical) [2:35](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=155) - "The sac is twisted and transfixed at the proper neck" — Tamer Ashraf Wafa (clinical) [2:45](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=165) - "4-0 absorbable suture is used for sac ligation" — Tamer Ashraf Wafa (clinical) [3:00](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=180) - "The external ring is closed using absorbable one or two stitches" — Tamer Ashraf Wafa (clinical) [3:15](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=195) - "Scarpa's fascia is closed by inverted absorbable sutures" — Tamer Ashraf Wafa (clinical) [4:00](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=240) - "Skin is closed by subcuticular sutures" — Tamer Ashraf Wafa (clinical) [4:15](https://library.globalcastmd.com/watch/female-neonatal-inguinal-hernia-repair-dr-tamer-ashraf-wafa-4354?t=255) ## Transcript This video shows an open inguinal hernia repair in a female neonate. A short incision is placed in the lower abdominal crease. The subcutaneous tissue and scarpus fascia are bluntly dissected. Palpating the hernial sac helps in its location and grasping. The sac and its coverings are bluntly dissected and exteriorized. The coverings are peeled off the sac until the extra peritoneal fat is reached. The apex of the external inguinal ring is grasped. The sac is open to check for a sliding thalope and tube. The round ligament is clearly seen. No tube is found. The sac is twisted and transfixed at the proper neck. 4-O absorbable suture is used. The external ring is closed using absorbable one or two stitches. The external ring is closed using absorbable one or two stitches. Aoush�b and the back. Aalitd. Aalitd. Aalitd. Aalitd. Aalitd. Aalitd. Aalitd. The scarpus fascia is closed by inverted absorbable sutures. Finally, the skin is closed by subcuticular sutures. For more videos hit the subscribe button. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai