Open inguinal herniotomy through a groin skin crease incision with high ligation of hernial sac following reduction of contents has remained the gold standard treatment for decades3.
"Most of the organs of the left side such as the spleen, tail of pancreas, splenic flexure of colon including the abdominal organs like left kidney were in the hernial sac.
In group II, out of twelve animals confirmed for diaphragmatic hernia (nine animals by radiograph and three animals by rumenotomy), six animals were operated for diaphragmatic hernial repair under post xiphoid transabdominal approach after 48 hours of rumenotomy.
The ultrasound showed a swelling of the isthmic region in the form of a hernial sac containing a heterogeneous echoic image of 7 cm along its long axis.
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