Anatomy of the Inguinal Region The ‘Myopectineal Orifice of Fruchaud’ All groin (inguinofemoral) hernias originate in a single weak area called the myopectineal orifice. This oval, funnel-like, ‘potential’ orifice formed by the following structures, makes the ‘myopectineal orifice of Fruchaud’.-Henry Fruchaud Boundaries Superiorly Internal oblique and transversus abdominis muscles. Inferiorly Superior pubic ramus. Medially Rectus […]

A hiatus hernia is a condition developed when the upper part of the stomach bulges through an opening in the diaphragm. The diaphragm is a muscle that separates the abdomen and chest. It has a small opening through which the food tube passes and connecting to the stomach. In a hiatus hernia, the stomach pushes […]

What is Inguinal Hernia? The inguinal canal is a short passage that is about four to six centimeters in length located just above the inguinal ligament and extends medially and inferiorly through the inferior part of the abdominal wall. Structures pass from the abdominal wall to the external genitalia through this canal. In men, the […]

Laparoscopic Hernia Surgery is performing hernia surgery using an instrument called a laparoscope. The laparoscope is pass through small incisions made on the abdomen. What is hernia? Hernia is the abnormal squeezing out of an organ or fatty tissue through a weak spot of the wall of the cavity where it normally resides. A hernia […]

Advantages Laparoscopic Hernia Repair Level 1A evidence Lower incidence of wound infection and hematoma formation. Lesser pain & discomfort. Immediate postoperative pain and delayed pain is reduced. Shorter hospital stay. Early resumption of normal daily activities and work. Level 1B evidence Incidence of recurrence as low as with Lichtenstein’s repair. Cost-effective when QALY (quality-adjusted life-year) […]

Repair of inguinal hernia is one of the commonest surgical procedures performed worldwide. The lifetime risk for men is 27% and for women, it is 3 %. “No disease of the human body, belonging to the province of the surgeon, requires in its treatment, a better combination of accurate, anatomical knowledge with surgical skill than […]

Laparoscopic Hernia Repair – How to Learn at Ease By Dr. R. Padmakumar and Dr. Madhukar Pai & Dr. Farish Shams Section 1 INTRODUCTION TO HERNIA Introduction Read More History of hernia repair Read More The Laparoscopic Hernia Repair Advantages & Difficulties Read More Section 2 ANATOMY LAPAROSCOPIC VIEW – Anatomy of the Inguinal Region […]