Hernia sac

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Author: Mikael Häggström [note 1]

Gross pathology of a hernia sac.

Comprehensiveness

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

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

Fixation

Generally 10% neutral buffered formalin.

Gross processing

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.)

Microscopic report

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.

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

Main page

References

  1. Chesley PM, Black GE, Martin MJ, Johnson EK, Maykel JA, Steele SR (2015). "The utility of pathologic evaluation of adult hernia specimens. ". Am J Surg 209 (5): 783-6; discussion 786. doi:10.1016/j.amjsurg.2014.12.019. PMID 25725504. Archived from the original. . 

Image sources