This Open Inguinal Hernia Repair (Lichtenstein) – Direct Hernia course will teach you:

• Open removal of the hernia sac
• Reefing of the transversalis fascia
• Tension free reinforcement of the posterior wall of the inguinal canal using a mesh in a patient with a direct hernia.
• Performing this procedure under local anesthesia, using the enroute anesthesia technique.

Special attention is paid to the following hazards you may encounter during the Open Inguinal Hernia Repair (Lichtenstein) – Direct Hernia:

• Ilioinguinal nerve injury
• Iliohypogastric nerve injury
• Postoperative hemorrhage
• Genital branch of the genitofemoral nerve injury
• Injury to intra-abdominal organs
• Pubic periosteum injury
• Femoral vessels and nerve injury
• Ilioinguinal nerve entrapment
• Inadequate width of prosthetic ring

With the following tips you might perform the Open Inguinal Hernia Repair (Lichtenstein) – Direct Hernia even better:

• Optimal cosmetic results
• Traction during subcutaneous tissue transection
• Scarpa’s fascia in older patients
• Isolation of the cremasteric vein with the spermatic cord
• Iliohypogastric nerve transection
• Alternative reefing using a purse string suture
• Valsalva maneuver
• Lipoma of the spermatic cord resection
• Determination of the internal inguinal ring with the use of the mesh
• Measuring the width of the new deep inguinal ring

The following anatomical variations are described in this Open Inguinal Hernia Repair (Lichtenstein) – Direct Hernia course:

• Iliohypogastric nerve with two nerve branches

After studying this Open Inguinal Hernia Repair (Lichtenstein) – Direct Hernia course you are familiar with the most common complications:

• Recurrence
• Seroma and surgical site infection
• Chronic postoperative ilioinguinal pain

You might also be interested in:

Open Inguinal Hernia Repair (Lichtenstein) – Cadaver
Totally Extraperitoneal (TEP) Repair – Indirect Hernia
TAPP – Bilateral Direct Hernia