Inguinal Hernia Sac Histology

Gross only soft tissue right inguinal hernia repair. Mesh can be directly identified when radiopaque material used13 or indirectly by staples or suture calcifications recurrence rates following. However the value of routine histologic examination of hernia sac tissues continues to be debated.

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Inguinal hernia repair is one of the most common surgeries performed on children.

Inguinal hernia sac histology. Fibroadipose tissue partially covered by mesothelium with focal chronic inflammation and reactive changes consistent with hernia sac. An inguinal hernia isn t necessarily dangerous. It doesn t improve on its own however and can lead to life threatening complications. For records noting pathology findings of duct like structures the operative reports and histology slides were reviewed.

The incidence of appendix in femoral hernia was 5 while inguinal hernia sac contained ovary and fallopian tube in 2 9 of the cases. The inferior epigastric vessels circle are identified lateral to the hernia sac. A hernia is present when an opening is present in the abdominal wall through which a sac protrudes from the abdominal cavity through the abdominal wall an inguinal hernia occurs when a sac like projection of the abdominal cavity extends down the groin on one or both sides toward the scrotum in boys or labia. Inguinal hernia repair is a common surgical procedure.

Your doctor is likely to recommend surgery to fix an inguinal hernia that s painful or enlarging. The incidence of groin hernias containing urinary bladder was. Soft tissue hernia sac left resection hernia repair. Prior hernia repair dashed arrow is evident.

Overall smf were found in 67 9 of the specimens with larger incidence in the proximal portion of the hernia sac 53 2 and in melanodermic patients 75. Smf were observed in 76 5 of the patients with indirect hernia 55 9 with direct hernia 46 4 with strangulated hernia and 68 7 with recurrent hernia. Hernia sac gross only. Direct left inguinal hernia solid arrow containing fat.

The college of american pathologists recommends microscopic examination of abdominal hernias but leaves submission of inguinal hernias for histology to the discretion of the pathologist. We searched the health records at the university hospital saskatoon for patients under 20 years of age who had inguinal hernia repair between 1988 and 1997. The hernia sac is a common surgical pathology specimen which can occasionally yield unexpected diagnoses. Specimens were immunostained for muscle specific actin.

To validate this approach at a tertiary care centre we retrospectively reviewed 1426 hernia sacs. Negative for malignancy.