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Inguinal Hernia - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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Inguinal Hernia - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: An inguinal hernia is a condition where abdominal contents, such as the intestine, bulge through a weakness in an area of the groin called the inguinal canal. As the intestine pushes through this weakness, a hernia sac made from tissue lining the inside of the abdomen, called the peritoneum, surrounds it. The intestine may become trapped, or incarcerated, inside the hernia sac. Over time, its blood supply may be cut off-- leading to strangulation-- where the tissue inside the hernia sac dies. A totally extra peritoneal laparoscopic inguinal hernia repair requires only small keyhole incisions into the abdomen, known as ports. To reach the hernia, the surgeon will insert a tube, called a trocar, through a port located just below your navel, or umbilicus. This instrument will be used to separate the inner abdominal wall from the peritoneum. Then, a balloon surrounding the instrument will be inflated to create a space for the surgeon to work. Next, your surgeon will insert the laparoscope through the umbilical port. Images from its camera will be transmitted to a video monitor in the operating room. Once the working space is created, two additional trocars will be inserted. The surgeon will pass surgical instruments through them. These instruments will be used to separate attachments to the hernia sac, and gently pull it out of the inguinal canal and back into the abdomen. To prevent anything from slipping back through the opening, the surgeon will place a piece of mesh over it and tack it in place. The incisions will be closed with sutures, followed by skin glue, or skin closure tape. [? If ?] there are complications with your laparoscopic procedure, your surgeon will switch to an open procedure with a larger incision.

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What attorneys say about MLA and The Doe Report:
"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."

Donald W. Marcari
Marcari Russotto & Spencer, P.C.
Chesapeake, VA

"It is my experience that it's much more effective to show a jury what happened than simply to tell a jury what happened. In this day and age where people are used to getting information visually, through television and other visual media, I would be at a disadvantage using only words.

I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.

Animations are powerful communication tools that should be used wheneverpossible to persuade juries."

Andrew G. Slutkin
Snyder Slutkin & Kopec
Baltimore, MD
"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info

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Morrow and Otorowski
Bainbridge Island, Washington
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