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

 

Preperitoneal Hernia Repair: 4

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

   
 

A direct hernia is usually evident as the balloon peels the peritoneum down. An indirect hernia sac lies atop the internal spermatic vessels and is not inflated because of the extraperitoneal location. It may be difficult to find and care should be taken in the dissection not to damage the spermatic vessels. The groin is left accessible when draping so that a finer can be placed in the inguinal canal if necessary to aid in diagnosis and dissection.     

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Preperitoneal Hernia Repair: 5

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

   
 

Non-absorbable mesh is introduced through the camera port and positioned over the inguinal floor on one or both sides as indicated. The mesh is fixed in position at Cooper's, rectus and transversus. No staples are placed below iliopubic tract laterally to avoid injuring lateral femoral cutaneous nerve.      

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This page was last modified on 3/1/1999.