Opinion Review
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2020; 12(7): 307-325
Published online Jul 27, 2020. doi: 10.4240/wjgs.v12.i7.307
Crucial anatomy and technical cues for laparoscopic transabdominal preperitoneal repair: Advanced manipulation for groin hernias in adults
Daiki Yasukawa, Yuki Aisu, Tomohide Hori
Daiki Yasukawa, Department of Surgery, Shiga University of Medical Science, Otsu 520-2192, Japan
Yuki Aisu, Tomohide Hori, Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan
Author contributions: Yasukawa D and Hori T wrote this review; Yasukawa D originally drew all illustrations and schemas; Yasukawa D, Aisu Y and Hori T performed laparoscopic surgeries, assessed important papers, and provided academic opinions; Hori T supervised this review; Yasukawa D and Hori T contributed equally to this work.
Conflict-of-interest statement: Neither author has a potential conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Tomohide Hori, PhD, MD, FACS, Associate Professor, Attending Doctor, Surgeon, Department of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoinkawara-cho, Sakyo-ku, Kyoto 606-8507, Japan. horitomo55office@yahoo.co.jp
Received: December 25, 2019
Peer-review started: December 25, 2019
First decision: March 24, 2020
Revised: April 8, 2020
Accepted: May 12, 2020
Article in press: May 12, 2020
Published online: July 27, 2020
Core Tip

Core tip: A high-quality hernia repair is seriously required for groin hernias. Surgeons should have good knowledge of the relevant anatomy (e.g., the preperitoneal space, myopectineal orifice, topographic nerves, regional vessels). Currently, laparoscopic surgery has therapeutic potential for hernioplasty, and laparoscopic transabdominal preperitoneal repair seems to be a powerful technique for use in adult patients. Both technical skill and anatomical familiarity are important for safe, reliable hernioplasty.