An anatomic (vs. prosthetic mesh) hernia repair depends on a thorough knowledge of inguinal anatomy (see inguinal anatomy) for its long-term integrity.
After identifying and ligating the superficial epigastric vessels in the subcutaneous tissue, the external oblique and ilioinguinal nerve, exiting near the superficial ring, were exposed.
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The superficial inguinal ring is made up of medial and lateral crura of the external oblique aponeurosis, which attach to the pubic tubercle. Superficial intracrural fibers bridge the split.
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