Inguinal Hernia Repair


Lichtenstein hernia repair is one of the more common types

Layers to cut through (in order of superficial to deep):

  1. Epidermis
  2. Dermis
  3. Subcutaneous fat/Camper fascia
  4. Scarpa fascia
  5. 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:

  1. Lateral aspect of rectus abdominus (transverse fascia). **This needs to be secure! most common area for re-current hernia to poke thorugh the mesh.
  2. Inguinal ligament
  3. 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