When is the transperitoneal approach indicated in the surgical repair of an abdominal sciatic hernia?

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 transperitoneal approach is used in the event of incarceration. Avoiding neurovascular injury during reduction and repair requires careful attention posteriorly and inferolaterally for the suprapiriform hernia, superomedially for the infrapiriform hernia, and medially for the subspinous hernia. The defect is closed with prosthetic material.


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