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vessels are tied with ligatures or sealed by an electric current (dia-
thermy).
Drains may be inserted to carry away fluid which might act as a
culture medium for bacteria. Various methods are used to close the
wound, for example sutures (also known as stitches), or staples. Final-
ly, the wound is covered with a dressing.
An operation report
This patient had an indirect right inguinal hernia.
Anaesthesia: Spinal anaesthetic with local anaesthetic infiltration
Incision: Right inguinal
Procedure: The external oblique aponeurosis was divided and the
spermatic cord mobilized. The hernial sac was identified and separat-
ed from the spermatic cord. The hernial sac was then mobilized back
to its neck where it was transfixed and the redundant tissue excised.
The fascia at the neck of the spermatic cord was divided, carefully
preserving the vessels, the genital branch of the nerve and the vas def-
erens. Thereafter the posterior wall of the inguinal canal was repaired
in two layers.
Closure: The wound was closed in layers with Dexon suture ma-
terial to the external oblique aponeurosis and staples to the skin.
2. Match the abbreviations (1–9) with their meanings (a–i).
1. p.c.
2. q.d.s.
3. s.c.
4. s.l.
5. p.o.
6. c.c.
7. p.r.n.
8. i.v.
9. infuse-n
a. by mouth
b. sublingual
c. with meals
d. as required
e. after food
f. intravenous