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TissueDB/Tissues/Hernia Sac

From Appropedia
Labelled drawing of the lower abdomen with a loop of intestine bulging through a weak abdominal layer in the groin
An inguinal hernia: bowel pushes through a weak layer of the abdominal wall. The hernia sac is the pouch of peritoneum that holds the bulge.
License: CC-BY-3.0 by BruceBlaus

The hernia sac is the pouch of peritoneum that protrudes through a fascial defect and may hold herniated abdominal contents. In an indirect inguinal hernia it is the patent processus vaginalis. Hernia repair frees the sac from the cord structures, then reduces, ligates, or excises it. Simulators reproduce it as a thin membranous pouch that tears if handled carelessly.

Materials

Material Visual Tactile Simulator Notes
Plastic wrap, spray glue and putty – – Laparoscopic Inguinal Hernia Repair Simulator (Kurashima) Press'n Seal plastic wrap at the base of the hernia defect, held with spray glue and Fun-Tak adherent putty to reproduce the sac's preperitoneal adhesions; careless dissection tears the thin film just as it would tear real peritoneum.[1]
Condom – – Laparoscopic Inguinal Hernia Repair Simulator (Hanssen) A condom represents the indirect hernia sac.[2]
Latex glove – – Laparoscopic Inguinal Hernioplasty TAPP 3D Simulator (Pires de Melo Filho) A latex glove represents the hernial sac, enabling hernia identification and reduction (Stage 3).[3]
Condom Pediatric Inguinal Hernia Repair Simulator (Heo) Non-lubricated condom. The source explicitly uses the condom to replicate the hernia sac for its thin, membranous, sac-like texture. Latex examination-glove fingers, latex finger cots and plastic kitchen wrap were tested and rejected.[4]

References

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  1. ↑ Kurashima Y, Feldman L, Al-Sabah S, Kaneva P, Fried G, Vassiliou M. A novel low-cost simulator for laparoscopic inguinal hernia repair. Surg Innov 2011;18(2):171–175. DOI 10.1177/1553350610395949. PMID 21307013.
  2. ↑ Hanssen A, Hanssen DA, Hanssen RA, Plotnikov S, Haddad J, Daes JE. Implementation and Validation of a Novel and Inexpensive Training Model for Laparoscopic Inguinal Hernia Repair. J Abdom Wall Surg 2022;1:10305. DOI 10.3389/jaws.2022.10305. CC BY 4.0.
  3. ↑ Pires de Melo Filho L, Mano Almeida A, Marçal de Barros Filho E, de Oliveira Borges GC. Simulated training model in a low cost for laparoscopic inguinal hernioplasty. Acta Cir Bras 2021;36(1):e360108. DOI 10.1590/ACB360108. CC BY 4.0.
  4. ↑ Heo K, Greaney E, Haehl J, Stunden C, Lindner A, Malik PRA, Rosenbaum DG, Muensterer O, Zakani S, Jacob J, Joharifard S. "Iterative Design and Manufacturing of a 3D-Printed Pediatric Open and Laparoscopic Integrated Simulator for Hernia Repair (POLISHeR)." Journal of Pediatric Surgery. 2025;60:162232. DOI: 10.1016/j.jpedsurg.2025.162232. PMID: 40011165. CC BY-NC 4.0.
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Authors Ian-laurel, Arturo Pelayo
License CC-BY-SA-4.0
Language English (en)
Related 0 subpages, 8 pages link here
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Created May 13, 2026 by Arturo Pelayo
Last edit November 8, 2026 by Arturo Pelayo
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