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Placement of a very soft and light mesh (folded) around the left spermatic cord structures
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Holding stitch retrieved allowing opening of the anatomical mesh |
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Anatomical 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 muscles |
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Lateral aspect of the mesh ready for fixation on the groin muscles |
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Lateral 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 pain |
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Fixation with fibrin glue continued on the medial aspect of the mesh towards the pubis |
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Free inferior flap lifted up creating a generous mesh overlap and also secured with fibrin glue |
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Mesh fixation completed, creating a smooth 'wrapping' of the spermatic cord structures and without any tension |
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Final control before removing the instruments. Lateral view |
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Final control before removing the instruments. Medial view
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