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Repair of a Direct Inguinal Hernia and Sliding
Anatomic Repair of a Combined IndirectDirect
6 other sections not shown
abdominal ring abdominal wall anastomosis anatomic artery Bassini BLADDER Continued bowel CECUM clamps closure completed Cooper's ligament cremaster muscle crural arch cut margins deferens depicted direct inguinal hernia duplicature excised external oblique muscle fascia lata fascial layer femoral hernia femoral hernial orifice femoral sheath forms the medial Gimbernat's ligament groin hernias Halsted hernial defect hernial sac iliac illustration incision inferior segment inguinal canal inguinal ligament internal ring interrupted sutures intraoperative photograph lateral crescentic margin margin of Gimbernat's mattress sutures medial angle medial boundary medial wall mesh midline Number Nyhus operation overlying patients peritoneum PHOTOGRAPHS Continued Plate portion of Gimbernat's posterior inguinal wall posterior wall Poupart's ligament preperitoneal approach prosthesis pubis pyriform fossa reconstruction relationship repair of inguinal retracted scissors dissection Shouldice sigmoid colon silk sliding hernia spermatic cord structures subjacent superior superiorly surgeon surgical anatomy sutures of 3-0 technique tendon tissue traction transected transversalis fascia transverse turn-in vein visible