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ORIGINAL ARTICLE
Year : 2018  |  Volume : 1  |  Issue : 1  |  Page : 24-31

Laparoscopic view of surgical anatomy of the groin


Department of Visceral and General Surgery, Marienhospital Stuttgart, Germany, Hernia Center, Winghofer Medicum Rottenburg, Germany

Correspondence Address:
Reinhard Bittner
Supperstr. 19, 70565 Stuttgart
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijawhs.ijawhs_1_18

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BACKGROUND: Deep knowledge of anatomy is essential for the success of any surgical intervention. This is especially true for inguinal hernia repair, due to the complex anatomical structure of the groin. METHODS: Observation and documentation of the pathology of the groin in >15,000 laparoscopic inguinal hernia repairs and careful study of the literature describe the anatomy in cadaver preparation. RESULTS: The large variability of the course of the nerves and the utmost importance of the bilaminar structure of the transversalis fascia for a precise dissection of the pelvic floor as well as for the placement of a large flat mesh are described in detail. CONCLUSION: Competent knowledge of the anatomy of the groin facilitates the operative performance, enables a tissue-protective dissection, and may provide an uncomplicated postoperative course.


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