An easy operation gone wrong

I was operating on a 4 year old girl with unilateral inguinal hernia. Hernia is rare in girls and the inguinal variety is rarer still. In female inguinal hernia the inguinal canal contains only round ligament, which can be sacrificed, and unlike in males, there are no hassles of dissecting cord structures meticulously.

I made an inguinal incision and deepened till the external oblique aponeurosis, then I opened the inguinal canal, dissected the round ligament, and hooked it up on my little finger. I freed the hernia sac, ligated it, and excised at its highest point. Next, I placed two haemostats …