Inguinal hernia repair, Shouldice

  1. Principle

    Principle

    Duplication of the transversalis fascia and attachment of the transversus muscle and internal oblique muscle to the inguinal ligament for reconstruction and stabilization of the posterior wall of the inguinal canal.

  2. Inguinal skin incision

    Video
    Inguinal skin incision
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    A skin incision approximately 5 cm long is made obliquely two fingerbreadths above the inguinal ligament (solid line) or alternatively a transverse skin incision two fingerbreadths above the pubic bone. Subsequently, the subcutaneous tissue is incised down to the external oblique aponeurosis. Subcutaneously located superficial epigastric vessels are ligated (not shown).

Splitting of the external aponeurosis

The external aponeurosis is opened parallel to the fibers, including the external inguinal ring, ex

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general and visceral surgery

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