Resection Specimens

Groin hernias - in uncomplicated groin hernias the principle of surgery is to reduce the hernia sac and repair the defect in the abdominal wall. This can be done by either suturing or introducing a prosthetic mesh. In complicated hernias in which the small bowel may be incarcerated, the hernia sac needs to be opened and the viability of the intestine assessed. If it is in question then a small-bowel resection may be required.

Abdominal wall tumours - primary abdominal wall tumours such as desmoid tumours are treated by wide excision. The excision usually entails excising the skin and rectus sheath, and may even extend down to the parietal peritoneum.

Umbilical lesions - primary tumours of the umbilicus, e.g., squamous carcinoma, are treated by excision of the umbilicus (omphalectomy), surrounding skin and full thickness of the periumbilical wall. If abscess formation occurs following umbilical infection this should be treated by incision and drainage. Omphalectomy may be required if infection is recurrent.

Omentectomy - this is a relatively straightforward procedure usually undertaken as part of more extensive surgery, e.g., during a gynaecological cancer operation for therapeutic cytore-duction and staging purposes. It involves ligation of the vessels along the greater curvature of the stomach and transverse colon with division of the omentum in this area.

0 0

Post a comment