When a hernia is strangulated, which instrument set is added to the general abdominal set-up?

When a hernia becomes strangulated, it indicates that the blood supply to the tissue becomes compromised, potentially leading to tissue necrosis. In such cases, the surgical procedure may require access to parts of the gastrointestinal tract, especially if resection of affected bowel is necessary or if there is a need to repair or decompress the bowel.

Incorporating a gastrointestinal instrument set into the general abdominal setup is essential because this set contains the necessary instruments to handle bowel tissues, perform resections, anastomoses, and other procedures that may be required in managing the complications associated with strangulated hernias. This ensures that the surgical team has the right tools at hand to address any bowel involvement efficiently and effectively during the procedure.

The other instrument sets, while important in their contexts, do not provide the specific tools needed for gastrointestinal procedures that may arise during strangulated hernia repairs. For example, a rectal set would be more fitting for surgeries involving the rectum, a vascular set pertains to procedures involving blood vessels, and a common duct set is related to biliary surgeries. Thus, the gastrointestinal set is the most relevant and appropriate choice for addressing the complexities of a strangulated hernia.