Lichtenstein hernia repair is one of the more common types
Layers to cut through (in order of superficial to deep):
- Subcutaneous fat/Camper fascia
- Scarpa fascia
- External oblique aponeurosis
The inguinal ligament is a landmark of where the external illiac artery becomes the femoral artery. It is derived/originantes from the external oblique aponeurosis
The mesh is secured to 3 structures:
- Lateral aspect of rectus abdominus (transverse fascia). **This needs to be secure! most common area for re-current hernia to poke thorugh the mesh.
- Inguinal ligament
- Pubic tubercle
Cremaster muscle runs through the spermatic cord.
*Page is FAR from complete! These are general unorganized thoughts/notes that need to be refined (when Mr. Stepwards is less busy!)
Page Updated: 06.07.2016