Q:

Staples may safely be placed during laparoscopic hernia repair in each of the following structures except:

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Staples may safely be placed during laparoscopic hernia repair in each of the following structures except:


  1. Cooper\'s ligament.
  2. Tissues superior to the lateral iliopubic tract.
  3. The transversus abdominis aponeurotic arch.
  4. Tissues inferior to the lateral iliopubic tract.
  5. The iliopubic tract at its insertion onto Cooper\'s ligament.

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D. Tissues inferior to the lateral iliopubic tract.

DISCUSSION: Placement of staples inferior to (below) the lateral iliopubic tract may result in injury to the lateral femoral cutaneous nerve or the genitofemoral nerve. Staples should also not be placed within the triangle of doom, owing to the risk of major vascular injury. 

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