Open Inguinal Hernia Repair (Lichtenstein) - Direct Hernia
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Open Inguinal Hernia Repair (Lichtenstein) - Direct Hernia

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

  • Open removal of the hernia sac, reefing of the transversalis fascia and the 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
TEP – Indirect/Direct Hernia
TAPP – Bilateral Direct Hernia

Step by step

External oblique aponeurosis exposure

Skin

Mark

Mark the skin over a length of approximately 6 cm, starting 1 to 1,5 cm cranial to the pubic tubercle in a lateral direction towards the anterior superior iliac spine.

Optimal cosmetic results

It is advised to mark and incise the incision in Langer’s lines, for optimal cosmetic results.

Do you want to learn the complete step-by-step of "Open Inguinal Hernia Repair (Lichtenstein) - Direct Hernia"?

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Unlimited access to all 308 procedures.

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Do you want to learn the anatomy of "Open Inguinal Hernia Repair (Lichtenstein) - Direct Hernia"?

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Unlock your free Incision procedure

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Unlimited access to all 308 courses.

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Do you want to learn the objectives of "Open Inguinal Hernia Repair (Lichtenstein) - Direct Hernia"?

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Try-out

Unlock your free Incision procedure

Membership

Unlimited access to all 308 courses.

20 per month Get started

Do you want to learn the preoperative of "Open Inguinal Hernia Repair (Lichtenstein) - Direct Hernia"?

Try one of our offerings

Try-out

Unlock your free Incision procedure

Membership

Unlimited access to all 308 courses.

20 per month Get started

Do you want to learn the postoperative of "Open Inguinal Hernia Repair (Lichtenstein) - Direct Hernia"?

Try one of our offerings

Try-out

Unlock your free Incision procedure

Membership

Unlimited access to all 308 courses.

20 per month Get started

Do you want to take the test of "Open Inguinal Hernia Repair (Lichtenstein) - Direct Hernia"?

Try one of our offerings

Try-out

Unlock your free Incision course

Free Try course

Membership

Unlimited access to all 308 courses.

20 per month Get started