hernial pouch
hernial sac

It is performed by closing the internal ring with a pad made of the hernial sac.

The content of the hernial sac can be felt separately from the testis which lies below the hernia.

The hernial sac is continuous with the tunia vaginalis of the testis.

In Amyand's hernia, the content of the hernial sac is the vermiform appendix.

Maydl's hernia: two adjacent loops of small intestine are within a hernial sac with a tight neck.

Incarcerated hernia-is one in which adhesions develop between the wall of hernial sac and the wall of intestine.

The hernial sac contains two loops of bowel with another loop of bowel being intra-abdominal.

In Littre's hernia, the content of the hernial sac contains a Meckel's Diverticulum.

In any approach, care should be taken to avoid injury to the urinary bladder which is often a part of the medial part of the hernial sac.

In 1884 he introduced a surgical procedure that allowed for reconstruction of the inguinal canal and restoration of the patient's anatomy following removal of the hernial sac.

Amyand's hernia is a rare form of inguinal hernia (less than 1%) which occurs when the appendix is included in the hernial sac and becomes incarcerated.

Obstructed hernia-is one in which the lumen of the herniated part of intestine is obstructed but the blood supply to the hernial sac is intact.

The first recorded successful appendectomy was in 1735 when French surgeon Claudius Aymand described the presence of a perforated appendix within the hernial sac of an 11-year-old boy who had undergone successful herniotomy.

On average, 60% to 70% both testes will lie in the normal position and as for the ovaries about 20% to 30% of the time, one of the testis will lie within the inguinal hernial sac while in other cases the testes will lie within the same inguinal hernia sac.

Occasionally, however, it curves along the free margin of the lacunar ligament (Figure B), and if in such circumstances a femoral hernia occurred, the vessel would almost completely encircle the neck of the hernial sac, and would be in great danger of being wounded if an operation were performed for strangulation.

A loop of bowel in the form of 'W lies in the hernial sac and the centre portion of the 'W loop may become strangulated and lies within the abdominal cavity, either alone or in combination with bowel in the hernial sac.