c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Hernia Technique Master Class: 85

A D V E R T I S E M E N T

   
 

The appearance of an indirect hernia is shown in an intraperitoneal laparoscopic view. This perspective makes identification of an indirect sac easy, but a direct defect difficult. The more common total extraperitoneal approach easily identifies a direct defect, but makes identification of an indirect defect more difficult. The laparoscopic mesh placement is designed to cover all three components of the inguinal floor.      

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Hernia Technique Master Class: 86

A D V E R T I S E M E N T

   

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An intraperitoneal view of a femoral hernia is shown. Laparoscopic repair of a femoral defect involves reduction under direct vision with the potential for exteriorization, resection and anastomosis of a compromised segment. Laparoscopic repair of the defect can be done with onlay mesh or a plug and patch.    

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Hernia Technique Master Class: 87

A D V E R T I S E M E N T

   

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Obturator hernia is rare and typically seen in thin old women. Protruding into the center of the adductor muscles, it is difficult to detect, and lends itself to laparoscopic repair.     

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This page was last modified on 2/10/2009.