Crucial anatomy and technical cues for laparoscopic transabdominal preperitoneal repair: Advanced manipulation for groin hernias in adults

Figure 5 Laparoscopic view at the groin. A: Laparoscopic view focused on the relation between the plicae and the hernial defect. B and C: The actual view (B) and schema (C) are shown. Laparoscopic view with pneumoperitoneum has a significant advantage for easy, accurate diagnosis without any missed evaluations because the plicae and fossae precisely indicate hernia defects. DIH: Direct inguinal hernia; IIH: Indirect inguinal hernia; MUP: Medial umbilical plica; LUP: Lateral umbilical plica; VD: Vas deferens.