Hernia sac

Author: Mikael Häggström ^{[note 1]}

On this resource, the following formatting is used for comprehensiveness:

• Minimal depth
• (Moderate depth)
• ((Comprehensive))

Generally 10% neutral buffered formalin.

A gross inspection is almost always enough, and tissue generally does not need to be submitted except in unique circumstances.^[1] ((Still you may submit 1 cassette of one or more representative sections for an inguinal hernia sac in a patient aged up to 16 years of age, or in case of hernia sacs from other regions than inguinal.))

Gross report

((A. Labeled - ___. The specimen is received in formalin and consists of)) __ fragment(s) of pink-tan fibromembranous tissue, measuring ___ cm in greatest dimension and ___ cm in greatest thickness. The surfaces are smooth. There are no sections submitted for microscopic examination. (Representative sections are submitted for microscopic examination in __ cassettes.)

In case of a gross only examination, the microscopic report may still be given as a formality:

Right inguinal region, herniorrhaphy: Hernia sac, gross examination only.

When microscopy slides of the case are available, you may screen the sample at low magnification to rule out obvious pathology:

Umbilical hernia sac, hernia repair: Connective tissue lined by mesothelium, consistent with hernia sac.

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