Up to 90 off textbooks at amazon canada plus free two day shipping for six months when you sign up for amazon prime for students. Mirilas et al 2006 offered a thorough review on the surgical anatomy embryology and technique of repair groin hernia the anatomy of the inguinal region is complex with multiple entities joining to form the supportive foundation of the inferior anterolateral abdominal wall as it attaches to the pubic tubercle pelvic rami and the anterior superior iliac spine four groin hernias are . Richter hernia surgical anatomy and technique of repair richter hernia partial enterocele is the protrusion and or strangulation of only part of the circumference of the intestines antimesenteric border through a rigid small defect of the abdominal wall the first case was reported in 1606 by fabricius hildanus. Repair of lumbar hernias should be performed as early as possible to avoid incarceration and strangulation the classic repair technique uses the open approach where closure of the defect is performed either directly or using prosthetic mesh the laparoscopic approach either transabdominal or extraperitoneal is an alternative. The same can be said of the anatomy of the inguinal region as the development of laparoscopic techniques and preperitoneal approaches to surgical hernia repair has necessitated a renewed understanding of inguinal anatomy this is a preview of subscription content log in to check access