Anatomical pitfalls in the technique for total extra peritoneal laparoscopic repair for inguinal hernias

Anatomical pitfalls in the technique for total extra peritoneal laparoscopic repair for inguinal hernias

The totally extraperitoneal laparoscopic approach for the treatment of inguinal hernia is a well-recognized technique with proven efficacy, low failure rate, and reduced post-operative pain. This laparoscopic technique is reputed to be a more difficult procedure to learn and practice than a laparosc...

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Bibliographic Details
Published in:Surgical and radiologic anatomy (English ed.) Vol. 28; no. 5; pp. 486 - 493
Main Authors: FAURE, J. P, DOUCET, C, RIGOUARD, Ph, RICHER, J. P, SCEPI, M
Format: Journal Article
Language:English
Published: Berlin Springer 01-10-2006
Springer Nature B.V
Subjects:
Abdominal surgery
Aged
Aged, 80 and over
Anatomy & physiology
Biological and medical sciences
Digestive system. Abdomen
Endoscopy
Female
General aspects
Groin - anatomy & histology
Hernia, Inguinal - surgery
Hernias
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy - adverse effects
Laparoscopy - methods
Male
Medical sciences
Middle Aged
Peritoneal Cavity
Medicine
Treatment
Abdominal disease
Surgery
Laparoscopy
Endoscopy
Technique
Anatomy
Repair
Inguinal hernia
Peritoneum
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Summary:The totally extraperitoneal laparoscopic approach for the treatment of inguinal hernia is a well-recognized technique with proven efficacy, low failure rate, and reduced post-operative pain. This laparoscopic technique is reputed to be a more difficult procedure to learn and practice than a laparoscopic trans-abdomino-pre-peritoneal procedure: we hope this is because many surgeons don't well know extra-peritoneal anatomy of groin. So we proposed a "step by step" anatomical analysis, with pitfalls to avoid, of a totally extraperitoneal laparoscopic approach for treatment of inguinal hernia. Our experience with totally extraperitoneal laparoscopic inguinal hernia repair with regard to the morphology of the inguinal-femoral region concerns 23 cadaver dissection and more than 400 surgical procedures, now permits clarification of a surgical technique that has hitherto not been well known. Photographic representations of surgical views are displayed, and detailed descriptions applicable to anatomical structures are presented.
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ISSN:0930-1038
1279-8517
DOI:10.1007/s00276-006-0143-7