Inguinal Flashcards
The Bassini Technique
“Shade to window sill”
Pulling muscle down to eliminate gap- to the inguinal ligament
Tissue to tissue
The McVay Technique
Tissue to tissue
Pulling muscle down to coopers ligament
“Shade past window sill”
The shouldice technique
“Canadian Technique”
Suturing each individual layer
TAPP stands for
Transabdominal PrePeritoneal Approach
TEP stands for
Totally extra Peritoneal approach
Where is the Millikan and Classic technique placed?
PrePeritoneal
Only recommended classic technique
Femoral Hernia
Keys to Onflex/ MK Technique
Dissection KEY!!!
Cover hasselbachs triangle and coopers ligament
TAPP pros and cons and description
- more space
- through belly- back out through peritoneum placing mesh in pre peritoneal
- peritoneum is incised “ trap door”
- violates healthy peritoneum
TEP
- close and confined area
- staying out of the belly- through umbilical
- dissect down to PrePeritoneaum
- uses a ballon but not always to open and separate muscle from peritoneum
- mesh placed pre peritoneal
- doesn’t violate healthy peritoneum
“Me too” products
Atrium
Lichtenstein repairs is the lap approach with mesh and require a lot of sutures?
False- open
Mesh repair technique for open repairs
Lichtenstein anterior to anterior
Plug repair - anterior to anterior or posterior
MK technique - anterior to posterior
Lap mesh repair technique
Tapp
Tep
Perfix plug S-L equals
Inner petals
