hernia

what is the incision and position for and inguinal hernia
- position is supine
- incision is inguinal- oblique
time out (5 things)
- correct patient
- correct site
- correct procedure
- correct time
- correct dr.
starting from the skin
- hand dr. #3 knife handle to make the incision into the skin
- have the bovie and lap ready
- debakey and metz for the subq
- hand retractors to the dr. assint.
- for fascia- hand 2kochers folled by the curved mayo with rathtooth
- hand kelly to split the muscle
exposure are and when hernia is exposed
- locate the spermatic cord, then soak the penrose in saline and hand it over with the pean to retract
- 2kellys tent the hernia sac and cut with metz
- blunt dissect away from organs with finger or peanuts
- push the contents back in
- with a pean clam @base of sac and cut out sac (or use 4kellys to tent sac
- purse string suture with a 2-0 or 3-0
continue the exposure section
- reinforce with a prolene or surgical steel mesh
- irragate with basotracine suntion and poole suction
closing
- peri- 2-0 sh
- muscle and fascia 0 ct1
- subq- 3-0 or ct-1
- skin is dr. preference (staples most likely)
- then dresings (abd)

Author

dianamurcio18

64226

Card Set

hernia

Description

study

Updated

2011-02-05T08:14:01Z