A sliding hernia found within the inguinal canal may contain a variety of tissues depending on the side, including caecum, sigmoid colon, appendix and bladder. A broad guideline would be to leave these elements alone whenever possible. The danger is that the blood supply of the viscus may be compromised or infection may be introduced into the abdominal cavity through perforation.
They should be pushed back internally and the sac closed around the site. Approaches to closing the sac are considered in the submenu under sliding inguinal hernia. The transversalis fascia is closed over the site of the hernia.
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