2019
DOI: 10.1590/0102-672020180001e1426
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Abstract: Background: Laparoscopic inguinal hernia repair has been shown to be superior than open repairs with faster return to daily activities and decrease in the occurrence of chronic pain. However, higher direct costs and mandatory use of general anesthesia are arguments against their use. In addition, increased complexity of surgery resulting from an anatomy that is unusual to general surgeons prevents the widespread adoption of laparoscopic approach. Aim:To propose a technical systematization for transabdominal la… Show more

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Cited by 34 publications
(28 citation statements)
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“…In order to apply the proper steps of an MIS inguinal hernia repair, a surgeon must understand the anatomy of Myopectineal Orifice. By using the inverted Y concept and the 5 triangles published by Furtado et al [14] (Fig. 1), the anatomical landmarks of dissection are defined and should provide a roadmap for a safe and proper MIS inguinal hernia repair, following the critical view and surgical steps published by Daes and Felix [13].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In order to apply the proper steps of an MIS inguinal hernia repair, a surgeon must understand the anatomy of Myopectineal Orifice. By using the inverted Y concept and the 5 triangles published by Furtado et al [14] (Fig. 1), the anatomical landmarks of dissection are defined and should provide a roadmap for a safe and proper MIS inguinal hernia repair, following the critical view and surgical steps published by Daes and Felix [13].…”
Section: Discussionmentioning
confidence: 99%
“…Crucial to a proper posterior approach, however, is understanding the anatomy. A recent publication by Furtado et al has developed a new way to understand this sometimes confusing posterior view of the anatomy of the groin [14]. With the identification of basic anatomical landmarks and triangular areas, it becomes possible to easily define the essential zones of dissection.…”
mentioning
confidence: 99%
“…Ambos aspectos han sido profundamente valorados. La descripción de la Y invertida, los conceptos de la visión crítica de seguridad y las diez reglas de oro constituyen en resumen el sendero por el que debemos transitar [5][6][7][8] .…”
Section: Introductionunclassified
“…Throughout the world more than 20 million patients in a year undergo inguinal hernia repair surgery, making hernia repair surgery as one of the most commonly performed surgery. [1][2][3] Incidence of inguinal hernia, visceral protrusions or adipose tissue protrusions through the inguinal or femoral canal is 27-43% in men and 3-6% in women. 1 Definitive and the only treatment of groin hernias is surgery for which multiple approaches and techniques are applied.…”
Section: Introductonmentioning
confidence: 99%
“…Another difficulty faced by surgeons related to laparoscopic approach is the internal anatomy of inguinal canal to which general surgeons are not familiar. 3,5 In our setup, we mostly use Transabdominal pre-peritoneal approach for groin hernias, with placement of synthetic mesh in pre peritoneal space. [5][6][7] This concept of posterior approach to groin hernias was first introduced by Stoppa in 1975.…”
Section: Introductonmentioning
confidence: 99%