How is the preperitoneal approach performed in the surgical repair of abdominal inguinal hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

A Pfannenstiel, lower midline, or other incision is used to reach the preperitoneal plane. The internal inguinal ring and the hernia sac are identified lateral to the inferior epigastric vessels. After the sac is dissected from the testicular vessels and vas deferens, it is divided and the peritoneum closed. The repair follows the pectineal approach and often has mesh applied.


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