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The extraperitoneal approach and its utility.

P Sayad1, G Ferzli

  • 1Department of Laparoscopic Surgery, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.

Surgical Endoscopy
|November 11, 1999
PubMed
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Laparoscopic preperitoneal access, initially for inguinal hernia repair, is now vital for diverse surgeries like prostatectomy. Mastering this minimally invasive technique is crucial for surgical training programs.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Anatomy
  • Laparoscopic Techniques

Background:

  • The laparoscopic preperitoneal approach for inguinal hernia repair has revealed broader applications.
  • The preperitoneal space offers access for various advanced laparoscopic procedures.

Purpose of the Study:

  • To discuss techniques for creating the preperitoneal space.
  • To describe the authors' experience with preperitoneal space dissection.
  • To highlight the value of extraperitoneal endoscopic access in surgical training.

Main Methods:

  • Review of techniques for creating the preperitoneal space.
  • Description of surgical experience in preperitoneal space dissection.
  • Discussion of applications beyond inguinal hernia repair.

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Main Results:

  • The preperitoneal space is accessible via laparoscopic techniques for multiple procedures.
  • Established applications include pelvic lymph node dissection, bladder neck suspension, varicoselectomy, and radical prostatectomy.

Conclusions:

  • Extraperitoneal endoscopic access is a safe and minimally invasive approach.
  • This technique is essential for surgical training and broader application in laparoscopic surgery.