Acetabulum - Stoppa Approach
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Acetabulum - Stoppa Approach

This Acetabulum – Stoppa Approach course will teach you:

  • To access the acetabulum using a Stoppa approach, most often to reconstruct the acetabulum following a fracture.

Special attention is paid to the following hazards you may encounter during the Acetabulum – Stoppa Approach:

  • Iliohypogastric and ilioinguinal nerve entrapment
  • Urinary bladder injury
  • Opening of the peritoneum
  • Rectus abdominis muscle transection
  • Deep vein thrombosis
  • Femoral nerve injury
  • External iliac vein injury
  • Anatomical variations of the internal iliac artery
  • L5 nerve root injury
  • Fascial necrosis

With the following tips you might perform the Acetabulum – Stoppa Approach even better:

  • Midline incision
  • Minimizing scarring
  • Adhesion dissection
  • Iliac vessel identification
  • Positioning of the Hohmann retractor for optimal exposure
  • Subfascial knot
  • Wound closure: reducing infection risk

After studying the Acetabulum – Stoppa Approach course you are familiar with the most common complications:

  • Obturator neurovascular bundle injury
  • External iliac vessels injury
  • Corona mortis injury
  • L5 nerve root palsy
  • Bladder injury

You might also be interested in :
Acetabulum – Kocher Langenbeck Approach
Acetabulum – Ilioinguinal Approach

Step by step

Superficial dissection

Skin

Incise

Incise the skin a finger breadth above the symphysis in a Pfannenstiel manner, for a length of approximately 8-12cm.

Iliohypogastric and ilioinguinal nerve entrapment

An incision length beyond the advised 8 to 12 cm is a risk factor for entrapment of the iliohypogastric or ilioinguinal nerve.

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