J Min Access Surg Close
 

Reconstruction: the first layer. A) Starting at the pubic tubercle, the lateral flap of transversalis fascia is taken to the edge of rectus sheath underneath the medial flap; and B) The layer is completed with the reconstruction of internal ring. The lateral stump of cremasteric muscle is taken with the bite of transversalis to buttress its medial edge of the new internal ring, prior to emerging with a full thickness bite of internal oblique.

Reconstruction: the first layer. A) Starting at the pubic tubercle,
the lateral flap of transversalis fascia is taken to the edge of rectus sheath underneath the medial flap; and B) The layer is completed with the reconstruction of internal ring. The lateral stump of cremasteric muscle is taken with the bite of transversalis to buttress its medial edge of the new internal ring, prior to emerging with a full thickness bite of internal oblique.