Segment 1 The patient is ready for surgery, and an incision is made. The external inguinal ring is exposed and the external oblique aponeurosis is split. The intertitles note that the iliohypogastric nerve is carefully preserved. The patient is under local anaesthesia, and coughs, making identifying the sac easier. The cord is isolated and the cremaster muscle and fascia are divided, exposing the sac, which is then opened. The sac is dissected free. The intertitles state that a high ligation of the neck of the sac is important. Time start: 00:00:00:00 Time end: 00:06:11:04 Length: 00:06:11:04
Segment 2 The next stage is the removal of the sac. The stump of the sac is sutured under the internal oblique. The inguinal (Poupart's) ligament is exposed. The cord is drawn aside and the conjoined tendon sutured to the under surface of the inguinal ligament. The intertitles say that the first suture should include the periosteum of the symphysis pubis, and that one or two sutures above the internal ring may be used to reinforce the ring. The cord is placed in its new position and the aponeurosis of the external oblique closed. The wound is then closed. Time start: 00:06:11:04 Time end: 00:13:13:11 Length: 00:07:02:07