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Inguinal Incision

Urologic Indications

In urology, an inguinal incision is done to treat testicular cancer, inguinal hernia, surgery for cryptorchidism, and varicoceles.

Preoperative Patient Preparation

• Patient positioning: supine position
• General, spinal or local anesthesia
• Perioperative antibiotic prophylaxis, if risk factors for surgical site infections are present

Surgical Technique of an Inguinal Incision

• Skin incision 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.
• Incision of the aponeurosis of the external oblique muscle, from the external inguinal ring to the level of the internal inguinal ring.
• Identification of the ileoinguinal nerve to facilitate preservation.
• Blunt mobilization of the spermatic cord

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

References

  Deutsche Version: Leistenschnitt