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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.
|Gibson incision||Index||Groin surgery|
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