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Iliopubic Tract (Shouldice) Hernia Repair Images

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Superficial ring.
VID 1252, frame 1

herP4817

 

Intracrural fibers.
VID 1252, frame 2

herP4818

 

Nick external oblique.
VID 1252, frame 3

herP4819

 

Opening external oblique.
VID 1252, frame 4

herP4820

 

Cut fascia.
VID 1252, frame 5

herP4821

 

Cut laterally.
VID 1252, frame 6

herP4822

 

Separate cord.
VID 1252, frame 7

herP4823

 

Separate medially.
VID 1252, frame 8

herP4824

 

Ilioinguinal nerve.
VID 1252, frame 9

herP4825

 

Nerve freed.
VID 1252, frame 10

herP4826

 

Nerve lateralized.
VID 1252, frame 11

herP4827

 

Spermatic cord.
VID 1252, frame 12

herP4828

 

Separation of cord from internal oblique.
VID 1252, frame 13

herP4829

 

Inject below cord.
VID 1252, frame 14

herP4830

 

Inject above cord.
VID 1252, frame 15

herP4831

 

Dissect cord.
VID 1252, frame 16

herP4832

 

Spread above.
VID 1252, frame 17

herP4833

 

Clamp under cord.
VID 1252, frame 18

herP4834

 

Penrose.
VID 1252, frame 19

herP4835

 

Penrose passed.
VID 1252, frame 20

herP4836

 

Cremaster opened.
VID 1252, frame 21

herP4837

 

Open laterally.
VID 1252, frame 22

herP4838

 

Medial cremaster.
VID 1252, frame 23

herP4839

 

Peel.
VID 1252, frame 24

herP4840

 

Medial peel.
VID 1252, frame 25

herP4841

 

Penrose replaced.
VID 1252, frame 26

herP4842

 

Open internal spermatic fascia.
VID 1252, frame 27

herP4843

 

Internal spermatic fascia opened.
VID 1252, frame 28

herP4844

 

Indirect sac.
VID 1252, frame 29

herP4845

 

Edge of sac.
VID 1252, frame 30

herP4846

 

Inject peritoneum.
VID 1252, frame 31

herP4847

 

Sac dissected.
VID 1252, frame 32

herP4848

 

Sac and cord.
VID 1252, frame 33

herP4849

 

Genitofemoral.
VID 1252, frame 34

herP4850

 

Medial cremaster.
VID 1252, frame 35

herP4851

 

Floor of the inguinal canal.
VID 1252, frame 36

herP4852

 

Inferior epigastric vessels.
VID 1252, frame 37

herP4853

 

Sac.
VID 1252, frame 38

herP4854

 

Sac twisted.
VID 1252, frame 39

herP4855

 

Transfixed.
VID 1252, frame 40

herP4856

 

First tie.
VID 1252, frame 41

herP4857

 

Pass around.
VID 1252, frame 42

herP4858

 

Second tie.
VID 1252, frame 43

herP4859

 

Sac cut.
VID 1252, frame 44

herP4860

 

Sac retraction.
VID 1252, frame 45

herP4861

 

Lateralizing.
VID 1252, frame 46

herP4862

 

Second pass.
VID 1252, frame 47

herP4863

 

Tie.
VID 1252, frame 48

herP4864

 

Stump location.
VID 1252, frame 49

herP4865

 

Deep ring.
VID 1252, frame 50

herP4866

 

Palpate floor.
VID 1252, frame 51

herP4867

 

Weakness.
VID 1252, frame 52

herP4868

 

Genitofemoral isolated.
VID 1252, frame 53

herP4869

 

Cremaster retracted.
VID 1252, frame 54

herP4870

 

Transversalis nicked.
VID 1252, frame 55

herP4871

 

Transversalis opened.
VID 1252, frame 56

herP4872

 

Falx.
VID 1252, frame 57

herP4873

 

Anchoring stitch.
VID 1252, frame 58

herP4874

 

Anchoring stitch tied.
VID 1252, frame 59

herP4875

 

Medial stitch.
VID 1252, frame 60

herP4876

 

Lateral bite.
VID 1252, frame 61

herP4877

 

Next bites.
VID 1252, frame 62

herP4878

 

Approximation.
VID 1252, frame 63

herP4879

 

Deep ring.
VID 1252, frame 64

herP4880

 

Free edge.
VID 1252, frame 65

herP4881

 

Ends tied.
VID 1252, frame 66

herP4882

 

Repair tested.
VID 1252, frame 67

herP4883

 

Cremaster clamped.
VID 1252, frame 68

herP4884

 

Edges tied.
VID 1252, frame 69

herP4885

 

External oblique.
VID 1252, frame 70

herP4886

 

This page was last modified on 7/18/2006.
 

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