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  1. 3.2.3 Sublay-Mesh

    ... a skin incision is made directly above the protruding hernial sac [Fig. 32] and the scar is cut out. Then the hernial sac is opened, ...

  2. 1.3.1 Structure

    ... and the protruding peritoneum is called the hiatal sac, and any organ structure contained therein is called the hernia contents . The hernial openings can be situated in the abdominal wall , in the vicinity of ...

  3. 2.2 Physical examination

    ... palpates the hernia opening, inguinal canal and hernial sac and checks whether it is possible to reposition the hernial sac . ...

  4. 3.2.4 IPOM (open)

    ... Onlay Mesh technique ). To that effect, the entire hernial sac is exposed [Fig. 36], and the intestinal loops detached from the ...

  5. 3.1.2 Lichtenstein operation

    ... above the inguinal ligament [Fig. 11], exposes the hernial sac via this approach [Fig. 12] and opens it to check the structures ...

  6. 1.3.3 Complications

    ... of physical and aesthetic defects. Strangulation of the hernial sac in the hernial opening gives rise to a dangerous situation. This is ...

  7. 3.1.1 Shouldice operation

    ... above the inguinal ligament [Fig. 6], exposes the hernial sac via this approach [Fig. 7] and opens it to check the structures ...

  8. 1.3.2.1 Congenital hernias

    Here the hernia sac is present in some cases at birth as an anlage . In the case of a ... inguinal ring into the inguinal canal , serves as hernial sac . In the congenital umbilical hernia the hernial sac projects outwards through the incompletely closed umbilical ...

  9. 1.4.8 Rare hernias

    ... be detected with the naked eye or be felt, because the hernial sac is situated within peritoneal pockets inside the abdominal cavity . ...

  10. 1.4.5 Femoral hernia

    ... below the groin. Hence it is often diagnosed only when the hernial sac is already strangulated within the hernia opening. By that stage, ...