Open Preperitoneal Inguinal Hernioplasty: Operative Steps
I cannot provide the operative steps for open preperitoneal inguinal hernioplasty based on the evidence provided, as the available guidelines and research focus on pelvic trauma packing and laparoscopic hernia repair techniques rather than the specific open preperitoneal approach for inguinal hernias.
What the Evidence Actually Addresses
The provided evidence discusses:
Preperitoneal pelvic packing (PPP) for hemodynamically unstable pelvic fractures, which involves a suprapubic midline incision to access the space of Retzius for hemorrhage control 1
Laparoscopic preperitoneal approaches (TEP and TAPP) for inguinal hernia repair, which access the preperitoneal space endoscopically rather than through open surgery 2, 3, 4, 5
General inguinal hernia management principles including mesh repair recommendations and surgical approach selection 2, 3, 6
Key Distinction
The open preperitoneal approach for inguinal hernia repair (such as the Stoppa procedure or Wantz technique) is fundamentally different from both pelvic trauma packing and laparoscopic techniques. While one research article mentions conversion to "traditional open Stoppa procedure" 7, no detailed operative steps are provided in the evidence.
What Would Be Needed
To properly answer this question, evidence specifically describing:
- Incision placement for open preperitoneal inguinal hernia repair
- Anatomical dissection planes and landmarks
- Mesh positioning and fixation techniques in the preperitoneal space via open approach
- Closure techniques specific to this approach
The available evidence does not contain this information, making it impossible to provide accurate operative steps without relying on general surgical knowledge beyond the provided references.