Inguinal Floor Repair

Figure 1 representation of the myopectineal orifice.

Inguinal floor repair.

Like the bassini repair the floor of the. It is usually used to repair initial inguinal hernias that are extremely large. Lie flat on the floor and stretch your legs. A single side repair of the myopectineal orifice can simultaneously and completely repair the site of anatomical weakness for inguinal direct and femoral hernias.

Recent medical research suggests that the best way to fix an inguinal hernia with mesh is from the inside or posterior repair. Inguinal hernia repair is a commonly performed surgery usually managed by open surgical mesh repair. This approach is also the principle of adult laparoscopic inguinal hernia repair figure 2. But in general both are safe and the recurrence rate is low especially if the operation is done by experienced specialists.

Once this is performed the inguinal floor is usually reinforced with mesh and suture into place. Types of hernia repair bassini. The floor of the inguinal canal is the inguinal ligament otherwise known as the poupart ligament which is formed by the external oblique aponeurosis as it folds over and inserts at the asis down. All symptomatic inguinal hernias pain neurologic symptoms should be repaired unless a specific contraindication exists.

The main ones are laparoscopy and open surgeries. Starting at the pubic tubercle the mesh was secured flat with continuous interrupted 2 0 prolene sutures to the reflected edge of the inguinal ligament inferiorly the conjoint tendon superiorly. There are multiple techniques used. Hernias that are unable to be reduced should be treated as a surgical emergency and repaired expeditiously.

Each type has pros and cons. Regardless of the technique chosen the hernia sac needs to be identified and resected or simply reduced back into the abdomen. The floor of the inguinal canal hasselbach s triangle is tightened by sewing the transversalis and internal oblique fascia conjoined tendon to the inguinal ligament poupart s ligament. There are several types of surgery to repair inguinal hernias.

Remain in this position for a couple of seconds and then slowly return to the starting position. Slowly and carefully start lifting your legs while keeping the knees bent at 90 degrees. Inguinal hernias that are incarcerated and are reduced in a timely fashion should be repaired on an urgent basis. To repair the floor of the canal a polypropylene other mesh was cut to size in an oval with a longitudinal lateral opening.

Dr reinhorn has been performing this kind of surgery both open and laparoscopic for over 15 years.