What are the anatomic considerations in laparoscopic inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Poor familiarity with the complex anatomy of the posterior inguinal view is an important contributor to the steepness of the learning curve for laparoscopic inguinal herniorrhaphy. [53, 54, 55] Although the following discussion describes the anatomy from a laparoscopic point of view, a working knowledge of the inguinal region and the anterior abdominal wall remains paramount. For a detailed description of the region, see Open Hernia Inguinal Repair.

The preperitoneal space is contained between the transversalis fascia and the parietal peritoneum. It contains areolar and adipose tissue and the inferior epigastric artery and vein.

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