After exploration of 'plug free' PHS, we found recurrence on dilated inguinal ring
beyond onlay mesh.
Average time required for internal inguinal ring
closure using simple interrupted intracorporeal sutures in horses suffering from inguinal herniation was reported to be 110 minutes (CARON & BRAKENHOFF, 2008).
Only one of the two remaining testicles appeared to have a viable vas deferens and was mobilized to the ipsilateral internal inguinal ring
Sagittal magnetic resonance images showing a mass, extending from over the left testis upper pole to the inguinal ring
If they had a concurrent open internal inguinal ring
, the laparoscopic approach was used to repair the open internal ring and to perform the pyloromyotomy.
Most UDTs are palpable distal to the external inguinal ring
which is a short distance from the scrotum.
6 cm sized left ovary with fallopian tube and an unfused uterine bud were identified near deep inguinal ring
on the left side.
Testicle ectomisation and closure of the external inguinal ring
were considered necessary to retain the hernial contents in the abdominal cavity.
The inguinal canal extends between the deep inguinal ring
(defect in the transversalis fascia) and superficial inguinal ring
(triangular defect in the medial portion of the external oblique aponeurosis).
It descends through deep inguinal ring
, then traverses inguinal canal, then superficial inguinal ring
and ultimately rest on bottom of scrotum.
When a long direct sac was encountered that could not be completely reduced from the deep inguinal ring
, the sac was divided and the peritoneal side was ligated with 2/0 chromic cat gut tie around the sac and the sac was transected.
Adjacent to the spermatic cord, however, an unidentified tubulo-muscular structure passing from the internal inguinal ring
could be seen (Fig.