What is a Pantaloon Hernia?
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| Pantaloon Hernia- Indirect Sac (Black Arrow) & Direct Sac ( White Arrow) |
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| Pantaloon Hernia- Inferior Epigastric Vessels ( White Arrow) & Spermatic Cord (Black Arrow) |
If an inguinal hernia contains both direct and indirect sac, it
is called a Pantaloon Hernia.
An indirect sac is dealt by opening the sac ( Herniotomy) , reducing the contents and transfixing it.
A direct sac is reduced into the peritoneal cavity and the plication of the upper part of the Transversalis Fascia over the sac and Ilio pubic Tract-Thickened lower most part of the Transversalis Fascia is done with the non absorbable suture material like poly propelene.
Then the posterior wall of the Inguinal Canal is reinforced with a poly propelene mesh in the plane of the inguinal ligament and conjoint tendon.
