Mobilisation of sac
Having identified the femoral hernial sac through the groin incision, it must be mobilised. Frequently, a thick layer of multiple fasciae is overlying the sac. This is a combination of:
- transversalis fascia
- extraperitoneal fascia
- cribriform fascia
- femoral vein fascia
The sac is cleaned by blunt dissection on its surface. This is best carried out with a gauze swab.
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