Hernias

• note any surgical scars or ulceration of the skin, necrosis in the skin, subcutis, abdominal muscle, wall of the hernial sac or its contents.

• hernial sac - dimensions and wall thickness (cm).

• contents - omentum, bowel and their dimensions (cm).

• paint the deep and lateral resection margins.

• transverse section bowel resection limits, if present.

• sample four or five representative blocks of the hernial sac and its contents to demonstrate its relationship to the various anatomical layers and any abnormality that is present.

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