Placement of a very soft and light mesh (folded) around the left spermatic cord structures Inguinal Hernia RepairLateral aspect of the mesh ready for fixation on the groin musclesFinal control before removing the instruments. Medial viewHolding stitch retrieved allowing opening of the anatomical meshAnatomical mesh fully opened and placed in position against the abdominal wall. The softness of the mesh is crucial to obtain a perfect contact with the musclesLateral aspect of the mesh fixed against the muscles with fibrin glue. No other fixation is used in order to minimise the risk of chronic post-operative painMesh fixation completed, creating a smooth ‘wrapping’ of the spermatic cord structures and without any tensionFixation with fibrin glue continued on the medial aspect of the mesh towards the pubisFree inferior flap lifted up creating a generous mesh overlap and also secured with fibrin glueFinal control before removing the instruments. Lateral view
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