Today I made my first entry into the world of wikipedia. I operated on a lady with an irreducible, painful femoral hernia a couple of nights ago. She did not have any clinical evidence of obstruction or strangulation. I chose to use the infra-inguinal approach as this is much simpler and a much lesser procedure. She had a bit of omentum incarcerated in the hernia. I excised this and fixed the hernia using sutures.
My consultant had a little chat (the kind you get when you have done something silly) the next day. He thought I should have used the high-approach, so I would have had better access to the abdomen. This would have been useful if she had needed bowel resection. I was planning on opening the lacunar ligament to get bowel out through the femoral canal. This, he said, was not ideal.
So, I decided to read up and was looking on the internet and came across a wiki stump. And, I decided to add some stuff to it. I hope to add to more medical articles in the coming days.
My consultant had a little chat (the kind you get when you have done something silly) the next day. He thought I should have used the high-approach, so I would have had better access to the abdomen. This would have been useful if she had needed bowel resection. I was planning on opening the lacunar ligament to get bowel out through the femoral canal. This, he said, was not ideal.
So, I decided to read up and was looking on the internet and came across a wiki stump. And, I decided to add some stuff to it. I hope to add to more medical articles in the coming days.
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