局麻下疝修补术0.pptVIP

局麻下疝修补术 The right groin is shown, with the patients head to the left. The inguinal canal is located using bony landmarks (see inguinal anatomy). The inguinal ligament runs between anterior superior spine of ilium and pubic tubercle. The latter is at the base of the scrotum. The superficial inguinal ring is just lateral to the pubic tubercle and the deep ring is midway between the two bony points. An incision 3cm above and parallel to the inguinal canal affords good exposure. A skin wheal was raised slightly longer than the intended incision using a combination short (1% lidocaine) and long