Hernia sac: Difference between revisions
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{{Fixation - standard}} | {{Fixation - standard}} | ||
==Gross processing== | ==Gross processing== | ||
A gross inspection is almost always enough, and tissue generally does not need to be submitted except in unique circumstances.<ref name="pmid25725504">{{cite journal| author=Chesley PM, Black GE, Martin MJ, Johnson EK, Maykel JA, Steele SR| title=The utility of pathologic evaluation of adult hernia specimens. | journal=Am J Surg | year= 2015 | volume= 209 | issue= 5 | pages= 783-6; discussion 786 | pmid=25725504 | doi=10.1016/j.amjsurg.2014.12.019 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25725504 }} </ref> {{Comprehensive-begin}}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. | A gross inspection is almost always enough, and tissue generally does not need to be submitted except in unique circumstances.<ref name="pmid25725504">{{cite journal| author=Chesley PM, Black GE, Martin MJ, Johnson EK, Maykel JA, Steele SR| title=The utility of pathologic evaluation of adult hernia specimens. | journal=Am J Surg | year= 2015 | volume= 209 | issue= 5 | pages= 783-6; discussion 786 | pmid=25725504 | doi=10.1016/j.amjsurg.2014.12.019 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25725504 }} </ref> {{Comprehensive-begin}}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.{{Comprehensive-end}} | ||
;Gross report | ;Gross report | ||
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==Microscopic report== | ==Microscopic report== | ||
[[File:Histology of the mesothelial lining of a hernia sac.jpg|thumb|290px|Mesothelial lining of a hernia sac.]] | |||
In case of a '''gross only examination''', the microscopic report may still be given as a formality: | In case of a '''gross only examination''', the microscopic report may still be given as a formality: | ||
{|class=wikitable | {|class=wikitable | ||
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When microscopy slides of the case are available: | 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:<br>Connective tissue lined by mesothelium, consistent with hernia sac. | {|class=wikitable | ||
|Umbilical hernia sac, hernia repair:<br>Connective tissue lined by mesothelium, consistent with hernia sac. | |||
|} | |} | ||
{{Bottom}} | {{Bottom}} | ||
Latest revision as of 15:46, 17 November 2023
Author:
Mikael Häggström [note 1]

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
- ↑ 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
- ↑ 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:. PMID 25725504. Archived from the original. .
Image sources