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.
Similar content being viewed by others
References
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: 53–58
Filipi CJ, Fitzgibbons RJ, Salerno GM, Hart RO (1992) Laparoscopic herniorrhaphy. Surg Clin North Am 72: 1109–1124
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 47
Kraus MA (1993) Laparoscopic identification of preperitoneal nerve anatomy in the inguinal area. SAGES Scientific Session and Postgraduate Course, final program, S02(Abstract), p 44
Lichtenstein IL, Shulman AG, Amid PK, Montlorr MM (1989) The tension free hernioplasty. Am J Surg 157: 188–192
MacFadyen B (1992) Complications of laparoscopic herniorrhaphy. SAGES In proceedings: Postgraduate course—challenges in laparoscopic and endoscopic surgery, session 5, (Abstract) pp 9–10
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: 155–158
Peters JH, Ortega AE (1993) Laparoscopic inguinal hernia repair. In: Hunter GJ, Sackier JM (eds) Minimally invasive surgery. McGraw-Hill, New York, pp 297–308
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 373–394
Schultz LS (1993) Laparoscopic inguinal herniorrhaphy. In: Graber JN, Schultz LS, Pietrafitta JJ, Hickok DF (eds) Laparoscopic abdominal surgery. McGraw-Hill, New York, pp 255–270
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)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
van Mameren, H., Go, P.M.N.Y.H. Surgical anatomy of the interior inguinal region. Surg Endosc 8, 1212–1215 (1994). https://doi.org/10.1007/BF00591053
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00591053