The Preperitoneal Space in Hernia Repair

A Lorenz; C Augustin; M Konschake; P Gehwolf; B Henninger; F Augustin; D Öfner

doi:10.3389/fsurg.2022.869731

The Preperitoneal Space in Hernia Repair

Front Surg. 2022 May 30:9:869731. doi: 10.3389/fsurg.2022.869731. eCollection 2022.

Authors

A Lorenz¹, C Augustin¹, M Konschake², P Gehwolf¹, B Henninger³, F Augustin¹, D Öfner¹

Affiliations

¹ Department of Visceral, Transplant and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Austria.
² Department of Anatomy, Histology and Embryology, Institute of Clinical and Functional Anatomy, Medical University Innsbruck (MUI), Innsbruck, Austria.
³ Department of Radiology, Innsbruck Medical University, Innsbruck, Austria.

Abstract

The preperitoneal spaces relevant for incisional hernia repair and minimally invasive groin hernia repair are described in terms of surgical anatomy. Emphasis is put on the transversalis fascia and the urogenital fascia and its extensions, the vesicoumbilical fascia, and the spermatic sheath of Stoppa procedure. Steps in hernia surgery where these structures are relevant are reviewed.

Keywords: abdominal wall repair; anatomy; groin hernia; retroperitoneum; transversalis fascia.

Publication types

Review