Mark incision.transverse, midway b/w asis n pubic tubercle
Cut dermis with blade.
Diathermy to ext oblique.
2 arteries and silk tie to vessel.
Diathermy to expose upto lower edge of ext oblique.
retractor to upper edge.
Diathermy to divide inguinal ligament and 2 arteries to create space below it and pick it up.
finger below to ext ring and diathermy to cut it.
Finger above and diathemy.
Diathermy to fibres between ext oblique and cord
Protect nerve or tie above and clamp below.
Create plane above and below with diathermy and finger.
Pick up cremaster by 2 arteries and diathermy in between.
Diathermy to plane between cremaster and cord, on both sides excise cremaster.
Another nerve comes laterally. tie above and clamp below.
Transfix the nerve with lateral cremaster.
Diathermy to plane between sac and cord. upto deep ring distally and pubic tubercle proximally.
Posterior wall closed from medial to deep ring with littles repair with 3-0 PDS
MESH 3"X6"
2 cm from long edge and 0.5 cm from s
Cut dermis with blade.
Diathermy to ext oblique.
2 arteries and silk tie to vessel.
Diathermy to expose upto lower edge of ext oblique.
retractor to upper edge.
Diathermy to divide inguinal ligament and 2 arteries to create space below it and pick it up.
finger below to ext ring and diathermy to cut it.
Finger above and diathemy.
Diathermy to fibres between ext oblique and cord
Protect nerve or tie above and clamp below.
Create plane above and below with diathermy and finger.
Pick up cremaster by 2 arteries and diathermy in between.
Diathermy to plane between cremaster and cord, on both sides excise cremaster.
Another nerve comes laterally. tie above and clamp below.
Transfix the nerve with lateral cremaster.
Diathermy to plane between sac and cord. upto deep ring distally and pubic tubercle proximally.
Posterior wall closed from medial to deep ring with littles repair with 3-0 PDS
MESH 3"X6"
2 cm from long edge and 0.5 cm from s
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