During laparoscopic total extra-peritoneal preperitoneal (TEPP) hernioplasty for inguinal hernia, posterior epimysium of rectus abdominis muscle was studied, and the novel observations hitherto unreported in literature are presented herein. Materials and Methods: A prospective study was conducted in adult patients of inguinal hernia who underwent Laparoscopic Total Extra-Peritoneal Preperitoneal hernioplasty under the ethical clearance and informed consent. Standard 3-midline port technique was utilized.
Initial access dissection in posterior rectus canal was performed with unhurried to-and-fro movements of the 0º 10-mm telescopic for careful observation of undersurface of rectus abdominis. Results: A total of 68 hernioplasties (Unilateral 52, and Bilateral 8) was performed in 60 adult male patients with primary inguinal hernia. Mean age and BMI were 50.08±17.15 years (Range 18-80…
