Sacced

Assisting Alex with a right inguinal hernia today; a unusually educational experience because her endearing utter lack of self esteem means she works harder than most to make sure the anatomy is absolutely clear - and because she does this to make it clear in her mind, it is clear in my mind, too.

This isn't a Bog Standard; it becomes clear on opening it up that there is no bowel to be seen, just a large lipoma and no internal oblique defect. This is an indirect hernia, with all the contents trapped clearly within the fascial lining surrounding the cord.

I'm confused until she explains it later. For some reason I have convinced myself that the vas has a peritoneal lining, whereas she keeps usiing the term 'fascial'. We track it back mentally, and I'm ashamed to concede she's right (as usual, bloody women.)

Will have to revise the anatomy again, I suppose.

Hardly bodes well for the MRCS part 2 I sat yesterday...