What are the key anatomic landmarks in the preperitoneal space for laparoscopic inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Answer

There are three key anatomic landmarks in the preperitoneal space that are constant in their presence and location (see the image below). They are a good starting point for getting one’s bearings in this difficult region and may also be helpful in cases of large hernias or recurrences. These landmarks are as follows:

  • Inferior epigastric vessels
  • Cooper ligament
  • Iliopubic tract
Inguinal anatomy from laparoscopic viewpoint. Inguinal anatomy from laparoscopic viewpoint.

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