Surgical Endoscopy

, Volume 8, Issue 10, pp 1212–1215 | Cite as

Surgical anatomy of the interior inguinal region

Consequences for laparoscopic hernia repair
  • H. van Mameren
  • P. M. N. Y. H. Go
Original Articles

Abstract

Exploration and placement of staplers in the internal inguinal region during laparoscopic hernia repair may sever blood vessels or nerves. Lesions of specific structures may be associated with such complications as hematomas and impaired sensibility in defined areas. Therefore, the course and topography of blood vessels and nerves in the preperitoneal tissue in this region were studied. Six human preserved male cadavers were dissected. Unsafe areas for stapling were described. An adjustment of the technique of laparoscopic hernia repair to circumvent these complications is proposed.

Key words

Laparoscopy Hernia repair Anatomy Inguinal region 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Arregui ME, Davis CJ, Yucel O, Nagan RF (1992) Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: A preliminary report. Surg Laparosc Endosc 2: 53–58Google Scholar
  2. 2.
    Filipi CJ, Fitzgibbons RJ, Salerno GM, Hart RO (1992) Laparoscopic herniorrhaphy. Surg Clin North Am 72: 1109–1124Google Scholar
  3. 3.
    Fitzgibbons RJ Jr, Annibali R, Litke B, Filipi C, Salerno G, Cornet D (1993) A multicentered clinical trial on laparoscopic inguinal hernia repair: preliminary results. SAGES Scientific Session and Postgraduate Course, final program, S07 (abstract), p 47Google Scholar
  4. 4.
    Kraus MA (1993) Laparoscopic identification of preperitoneal nerve anatomy in the inguinal area. SAGES Scientific Session and Postgraduate Course, final program, S02(Abstract), p 44Google Scholar
  5. 5.
    Lichtenstein IL, Shulman AG, Amid PK, Montlorr MM (1989) The tension free hernioplasty. Am J Surg 157: 188–192Google Scholar
  6. 6.
    MacFadyen B (1992) Complications of laparoscopic herniorrhaphy. SAGES In proceedings: Postgraduate course—challenges in laparoscopic and endoscopic surgery, session 5, (Abstract) pp 9–10Google Scholar
  7. 7.
    MacFadyen BV Jr, Arregui ME, Corbitt JD, Filipi CJ, Fitzgibbons RJ Jr, Franklin ME, McKernan JB, Olsen DO, Phillips EH, Rosenthal D, Schultz LS, Sewell RW, Smoot RT, Spaw AT, Toy FK, Waddell RL, Zucker KA. (1993) Complications of laparoscopic herniorrhaphy. Surg Endosc 7: 155–158Google Scholar
  8. 8.
    Peters JH, Ortega AE (1993) Laparoscopic inguinal hernia repair. In: Hunter GJ, Sackier JM (eds) Minimally invasive surgery. McGraw-Hill, New York, pp 297–308Google Scholar
  9. 9.
    Salerno MG, Fitzgibbons RJ, Corbitt JD, Hart RO, Filipi CJ (1993) Laparoscopic hernia repair. In: Zucker KA, Bailey RW, Reddick EJ (eds) Surgical laparoscopy update. QMP, St. Louis, Missouri, pp 373–394Google Scholar
  10. 10.
    Schultz LS (1993) Laparoscopic inguinal herniorrhaphy. In: Graber JN, Schultz LS, Pietrafitta JJ, Hickok DF (eds) Laparoscopic abdominal surgery. McGraw-Hill, New York, pp 255–270Google Scholar
  11. 11.
    Van Steensel CJ, Weidema WF (1994) Laparoscopic inguinal hernia repair without fixation of the prosthesis. In: Arregui ME (ed), Hernia '93: advances or controversies (Indianapolis, USA), Radcliff, London (in press)Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1994

Authors and Affiliations

  • H. van Mameren
    • 1
  • P. M. N. Y. H. Go
    • 2
  1. 1.Department of Anatomy and EmbryologyUniversity of LimburgMaastrichtThe Netherlands
  2. 2.Department of SurgeryUniversity of LimburgMaastrichtThe Netherlands

Personalised recommendations