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.
A comparative study examining open inguinal
herniotomy with and without hernioscopy to laparoscopic inguinal hernia repair in a pediatric population.
We sought to investigate the hypothesis of whether CPPV mandates a
herniotomy.
We describe the case of an 18 month old boy in which a non-inflamed appendix was found incidentally in the hernial sac of right sided inguinal hernia while doing
herniotomy by Mitchell-Banks' technique.
Intraoperative procedure standardised for both Desarda's and Lichtenstein procedure, [13] such as
Herniotomy and strengthening posterior wall of inguinal canal.
Considering the diagnosis of a nonreducible coelomic hernia with intestinal entrapment and signs of enteritis,
herniotomy and herniorrhaphy were performed the next day.
An appendectomy and
herniotomy was done with irrigation of the scrotal sac, and a pencil drain was left in situ.
Second, our study included patients admitted for hemorrhoidectomy,
herniotomy, and tonsillectomy, and the results may be different for other diseases under the DRG system.
Once the testis had been adequately mobilized, confirmed by performing stretch maneuver where the testes are stretched to the contralateral deep inguinal ring, the dissection was further carried out medially all around the ipsilateral deep inguinal ring to complete the
herniotomy. Peritoneal coverage between the vas deferens and urinary bladder was dissected.
Ninety two male patients between the age of 20-60 years who reported for direct or indirect inguinal hernia repair with open
herniotomy and hernioplasty or herninorrhaphy (Mesh repair (Lichtenstein) or darn repair) in emergency or electively from January 2014 to December 2015 were enrolled in this prospective randomized control trial (RCT).
Demiraran and colleagues (13) had previously demonstrated that children undergoing
herniotomy had lower pain scores with a wound infiltration of 2 mg/kg of tramadol than with bupivacaine or intramuscular tramadol with a longer time to require analgesics.
However, the portals for the retractor and the suction instrument were situated caudally from the pathology level, and a simple surgery such as sympathectomy [13],
herniotomy [5], and debridement for disk infection is possible, but T1, T2, or T3 corpectomy may be very difficult to operate from a low angle view.