How is the patient positioned for an open inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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The correct surgical side (left or right) should be confirmed and marked preoperatively in the holding area.

The patient should be placed in the supine position, with the upper extremities comfortably secured. He or she should be at ease, and the position should be comfortable for the surgical team. For large defects, slight Trendelenburg positioning may facilitate exposure by reducing the visceral contents into the abdomen.

The surgical site is prepared and draped in standard surgical fashion, so that the patient’s upper abdomen and lower limbs are covered and only the intended operative groin site is exposed. The patient’s head is left open to allow conversation with the surgeon. The surgeon stands on the side of the patient where the hernia is located, and the assistant stands on the opposite side.

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