Femoral hernia repair, TIPP technique

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Principle
Skin Incision
Division of the External Aponeurosis and Slinging of the Round Ligament of the Uterus
Division of the Transversalis Fascia and Exposure of the Hernia Orifice
Adjusting the Mesh and Implantation in Front of the Hernia Opening
Suture of the Transversalis Fascia
Suture of the external aponeurosis, the subcutis, and the skin

Authors

Dr. med. Karl Heinz Moser

Chirurgische Praxis

Dr. med. Nicola Cerasani

Johanniter Krankenhaus, Bonn

Date

Principle

The principle of transinguinal preperitoneal mesh repair (TIPP) involves the closure of the femoral hernia orifice with a synthetic mesh introduced via an open inguinal, thus anterior, approach between the parietal peritoneum and the transversalis fascia.
For this, the transversalis fascia must be opened, which is then closed either by a Shouldice suture or by simple suture.

Skin Incision

After local anesthesia, a transverse skin incision approximately 4 cm long is made 1 fingerbreadth

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After activation, you can expect the following content:

Principle
Skin Incision
Division of the External Aponeurosis and Slinging of the Round Ligament of the Uterus
Division of the Transversalis Fascia and Exposure of the Hernia Orifice
Adjusting the Mesh and Implantation in Front of the Hernia Opening
Suture of the Transversalis Fascia
Suture of the external aponeurosis, the subcutis, and the skin