Читать книгу Bovine Reproduction - Группа авторов - Страница 303

The ipsilateral paralumbar fossa is clipped and prepared for aseptic surgery. An inverted L or paralumbar block is used for local anesthesia. The abdomen is then entered in a routing manner and the inguinal ring is identified. The herniated bowel is grasped and traction is applied to reduce the hernia (Figure 18.18). Failure to reduce the hernia by traction at this stage will require transition to the inguinal approach described below. Once the hernia is reduced, closure of the inguinal ring is performed by blindly placing several interrupted sutures or by utilizing the continuous blind suture technique described in Chapter 55. Care must be taken during closure of the inguinal ring to avoid the vasculature entering and exiting the abdomen through the ring. The flank is then closed in a routing manner [17, 18].

Figure 18.18 Resection and anastomosis of herniated bowel removed from inguinal ring by flank approach.

Source: Image courtesy of Richard Hopper.