Episode 10 - “Failure Is Not an Option: Safety and Excellence in MIS Inguinal Hernia Surgery”
Update: 2025-05-15
Description
🎙️ Episode Title: “The Ten Golden Rules: A Safer Future for MIS Inguinal Hernia Repair”
🩺 Episode Description: Welcome to Master General Surgery and Trauma – Abdominal Wall Series. In this compelling episode, we dissect one of the most influential frameworks in modern hernia surgery: the Ten Golden Rules for a Safe MIS Inguinal Hernia Repair, by Claus, Furtado, Malcher, Cavazzola, and Felix.
As robotic platforms accelerate the adoption of minimally invasive techniques, mastering anatomy and standardizing safe dissection becomes more critical than ever. We explore the revolutionary Critical View of the Myopectineal Orifice (MPO) and the intuitive Inverted Y and Five Triangles concept—together forming the basis for surgical precision and complication avoidance.
🔍 Whether you perform TAPP, TEP, ETEP, or RTAPP, this episode will provide key strategies to:
• Prevent nerve, vessel, and bladder injuries
• Avoid missed femoral hernias
• Ensure adequate dissection and mesh coverage
• Optimize outcomes and minimize chronic pain and recurrence
💡 Take-Home Messages:
• Understand and apply the Critical View of the MPO
• Respect dissection zones (1, 2, and 3) and the “danger zones”
• Visualize key structures—external iliac vein, epigastric vessels, vas deferens
• Always explore and reduce cord lipomas
• Deflate under direct vision to prevent mesh folding
• Use large, properly positioned mesh with or without fixation
🎧 Listen now on all major platforms and in the Google Classroom of the Abdominal Wall and Content Group at Hospital das Clínicas, School of Medicine, University of São Paulo.
🙏 Thank you for joining us—your commitment to excellence shapes safer surgeries and better outcomes.
🩺 Episode Description: Welcome to Master General Surgery and Trauma – Abdominal Wall Series. In this compelling episode, we dissect one of the most influential frameworks in modern hernia surgery: the Ten Golden Rules for a Safe MIS Inguinal Hernia Repair, by Claus, Furtado, Malcher, Cavazzola, and Felix.
As robotic platforms accelerate the adoption of minimally invasive techniques, mastering anatomy and standardizing safe dissection becomes more critical than ever. We explore the revolutionary Critical View of the Myopectineal Orifice (MPO) and the intuitive Inverted Y and Five Triangles concept—together forming the basis for surgical precision and complication avoidance.
🔍 Whether you perform TAPP, TEP, ETEP, or RTAPP, this episode will provide key strategies to:
• Prevent nerve, vessel, and bladder injuries
• Avoid missed femoral hernias
• Ensure adequate dissection and mesh coverage
• Optimize outcomes and minimize chronic pain and recurrence
💡 Take-Home Messages:
• Understand and apply the Critical View of the MPO
• Respect dissection zones (1, 2, and 3) and the “danger zones”
• Visualize key structures—external iliac vein, epigastric vessels, vas deferens
• Always explore and reduce cord lipomas
• Deflate under direct vision to prevent mesh folding
• Use large, properly positioned mesh with or without fixation
🎧 Listen now on all major platforms and in the Google Classroom of the Abdominal Wall and Content Group at Hospital das Clínicas, School of Medicine, University of São Paulo.
🙏 Thank you for joining us—your commitment to excellence shapes safer surgeries and better outcomes.
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