Laparoscopic Repair of Inguinal & Femoral Hernias

Laparoscopic Inguinal Hernia Repair


		Laparoscopic Repair of Inguinal & Femoral Hernias

Laparoscopic Inguinal Anatomy

The anatomy of the inguino-femoral region viewed via a telescope placed in intra-abdominal position differs radically from the anatomy observed via an open or anterior approach. The laparoscopic surgeon needs to become familiar with the anatomical structure of this region. As all anatomical landmarks are covered with peritoneum, in the TAPP technique the peritoneum has to be first incised and a lower flap developed in order to expose the region adequately. In the TEP repair, the anatomical landmarks need to be meticulously exposed with blunt dissection.

Our guidelines for the performance of a safe and secure laparoscopic inguinal hernia repair, mandate the following structures should be clearly and unequivocally identified:

	Cooper's Ligament
	The Epigastric Vessels
	The Spermatic Cord or the Round Ligament
	The Femoral Canal and the Iliac Vessels
	In addition, the laparoscopic anatomical distinction between direct, indirect inguinal and femoral hernias should be well understood. Before a surgeon attempts to perform a laparoscopic inguinal or femoral hernia repair, he should memorize and be very familiar with the following diagrams.