A Herniorrhaphy Performed.. A Hydrocele Found Incidentally.
July 22nd
Dr Nsisi performed a Herniorrhaphy this night and I assisted. A Herniorrhaphy is the surgery done to repair a Hernia, of which the commonest is the Inguino-scrotal Hernia.
This is the type that we performed. The man has been living with it for over twenty years, it being at the Reducible stage. In other words it would collapse back spontaneously, off and on, or the patient would push it back himself. So we say then that it is a Reducible Hernia.
I talk about a Hernia collapsing back. This is possible when you understand that a Hernia is an abnormal protrusion of organs (usually a part of the intestine) outwards, through a weak point on the wall surrounding the cavity within which the organ is found. The abdominal cavity and the abdominal wall, in this case.
I'll give a clear and common example. Children with big navels. It is a part of the intestine that pushes out through a "hole" found just above the navel area. So we call it a Para-umbilical Hernia. Umbilicus is the navel as you may know.
So this man has been carrying about for twenty something years a Right-sided Reducible Inguino-scrotal Hernia. It protruded on and off into the right side of the scrotal sac through a weak area known as the inguinal canal.
This inguinal canal area is exactly the point where we performed the Hernial repair or Herniorrhaphy, after pushing back the loop of intestines found.
Incidentally we found that he equally had a Hydrocele and so a Hydrocelectomy was concomitantly done. More medical jargon, I'm afraid.
Dr Nsisi performed a Herniorrhaphy this night and I assisted. A Herniorrhaphy is the surgery done to repair a Hernia, of which the commonest is the Inguino-scrotal Hernia.
This is the type that we performed. The man has been living with it for over twenty years, it being at the Reducible stage. In other words it would collapse back spontaneously, off and on, or the patient would push it back himself. So we say then that it is a Reducible Hernia.
I talk about a Hernia collapsing back. This is possible when you understand that a Hernia is an abnormal protrusion of organs (usually a part of the intestine) outwards, through a weak point on the wall surrounding the cavity within which the organ is found. The abdominal cavity and the abdominal wall, in this case.
I'll give a clear and common example. Children with big navels. It is a part of the intestine that pushes out through a "hole" found just above the navel area. So we call it a Para-umbilical Hernia. Umbilicus is the navel as you may know.
So this man has been carrying about for twenty something years a Right-sided Reducible Inguino-scrotal Hernia. It protruded on and off into the right side of the scrotal sac through a weak area known as the inguinal canal.
This inguinal canal area is exactly the point where we performed the Hernial repair or Herniorrhaphy, after pushing back the loop of intestines found.
Incidentally we found that he equally had a Hydrocele and so a Hydrocelectomy was concomitantly done. More medical jargon, I'm afraid.
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