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Inguinal Incision: Steps of the Surgical Approach

Urologic Indications

In urology, an inguinal incision is used for radical orchiectomy, hernia repair, surgery for cryptorchidism, and varicoceles.

Inguinal incision: skin incision 1 cm above and parallel to the inguinal ligament, from the inner to the outer inguinal ring.

Supine position.

Incise the skin 1 cm above and parallel to the inguinal ligament, from the inner to the outer inguinal ring [fig. inguinal incision].
Cut through the subcutaneous fat tissue and Camper fascia to expose the aponeurosis of the external oblique muscle of the abdomen.
Transsect the aponeurosis of the external oblique muscle from the external inguinal ring to the level of the internal inguinal ring. Identify the ileoinguinal nerve to facilitate preservation.
Mobilize the spermatic cord to the internal inguinal ring by blunt and sharp dissection.

**Inguinal approach to the left inguinal canal from the surgeon's point of view:** skin incision.
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**Inguinal approach to the left inguinal canal from the surgeon's point of view:** Exposing the aponeurosis of the abdominal external oblique muscle.
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**Inguinal approach to the left inguinal canal from the surgeon's point of view:** After incision of the aponeurosis.
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Fascial closure with continuous running (monofilament, elastic, slowly absorbable, suture size USP 2-0) or interrupted sutures.

Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

J. A. Smith, S. S. Howards, G. M. Preminger, and R. R. Dmochowski, Hinman’s Atlas of Urologic Surgery Revised Reprint. Elsevier, 2019.

Deutsche Version: Leistenschnitt