SURGICAL ANATOMY OF THE INTERIOR INGUINAL REGION - CONSEQUENCES FOR LAPAROSCOPIC HERNIA REPAIR

Exploration and placement of staplers in the internal inguinal region during laparoscopic hernia repair may sever blood vessels or nerves. L esions of specific structures may be associated with such complication s as hematomas and impaired sensibility in defined areas. Therefore, t he course and topography of blood vessels and nerves in the preperiton eal tissue in this region were studied. Six human preserved male cadav ers were dissected. Unsafe areas for stapling were described. An adjus tment of the technique of laparoscopic hernia repair to circumvent the se complications is proposed.