Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair

<p>A thorough understanding of abdominal wall anatomy is foundamental to safe and effective hernia repair. The complex and highly organized arrangement of muscular, fascial, and neurovascular structures and their relationships demands careful analysis, particularly in the context of modern surgical...

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Autores principales: Goi, Gloria, Guerci, Claudio, Ferrario, Luca, Nava, Andrea Kazemi, Danelli, Piergiorgio
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Lenguaje:inglés
Publicado: IntechOpen 2026
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Acceso en línea:https://www.intechopen.com/chapters/1237124
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author Goi, Gloria
Guerci, Claudio
Ferrario, Luca
Nava, Andrea Kazemi
Danelli, Piergiorgio
author_browse Danelli, Piergiorgio
Ferrario, Luca
Goi, Gloria
Guerci, Claudio
Nava, Andrea Kazemi
author_facet Goi, Gloria
Guerci, Claudio
Ferrario, Luca
Nava, Andrea Kazemi
Danelli, Piergiorgio
author_sort Goi, Gloria
building IntechOpen
collection Acceso abierto
description <p>A thorough understanding of abdominal wall anatomy is foundamental to safe and effective hernia repair. The complex and highly organized arrangement of muscular, fascial, and neurovascular structures and their relationships demands careful analysis, particularly in the context of modern surgical techniques such as component separation and minimally invasive approaches like extended totally extraperitoneal and robotic transversus abdominis release. This chapter will provide a comprehensive, clinically oriented review of the functional anatomy of the abdominal wall, progressing sistematically from the superficial layers to the posterior rectus sheath and transversalis fascia. Particular attention is given to the anatomical planes and potential spaces that are critical to both open and minimal invasive surgical approaches. Key surgical landmarks, including the semilunar line, arcuate line, and major neurovascular bundles, are described in detail, along with common anatomical variations that may influence operative strategy and surgical decision-making. An emphasis is placed on the biomechanical role of each abdominal wall layer and its relevance to defect formation, hernia classification, and reconstructive planning. Understanding these principles allows for more accurate selection of surgical techniques, improved restoration of abdominal wall function, and reduced rates of recurrence and postoperative morbidity. By integrating anatomical knowledge with practical surgical application, this chapter aims to serve as a valuable resource for both general and specialist surgeons involved in abdominal wall reconstruction. Illustrative diagrams and intraoperative images will support the anatomical descriptions, enhancing both didactic clarity and practical relevance for clinical decision-making.</p>
doi_str_mv 10.5772/intechopen.1013573
first_indexed 2026-10-15T21:41:34Z
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fullrecord <oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><identifier>intech-1237124</identifier><datestamp>2026-01-22</datestamp> <dc:title>Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair</dc:title> <dc:creator>Gloria Goi</dc:creator> <dc:creator>Claudio Guerci</dc:creator> <dc:creator>Luca Ferrario</dc:creator> <dc:creator>Andrea Kazemi Nava</dc:creator> <dc:creator>Piergiorgio Danelli</dc:creator> <dc:subject>Health Sciences</dc:subject> <dc:description>&lt;p&gt;A thorough understanding of abdominal wall anatomy is foundamental to safe and effective hernia repair. The complex and highly organized arrangement of muscular, fascial, and neurovascular structures and their relationships demands careful analysis, particularly in the context of modern surgical techniques such as component separation and minimally invasive approaches like extended totally extraperitoneal and robotic transversus abdominis release. This chapter will provide a comprehensive, clinically oriented review of the functional anatomy of the abdominal wall, progressing sistematically from the superficial layers to the posterior rectus sheath and transversalis fascia. Particular attention is given to the anatomical planes and potential spaces that are critical to both open and minimal invasive surgical approaches. Key surgical landmarks, including the semilunar line, arcuate line, and major neurovascular bundles, are described in detail, along with common anatomical variations that may influence operative strategy and surgical decision-making. An emphasis is placed on the biomechanical role of each abdominal wall layer and its relevance to defect formation, hernia classification, and reconstructive planning. Understanding these principles allows for more accurate selection of surgical techniques, improved restoration of abdominal wall function, and reduced rates of recurrence and postoperative morbidity. By integrating anatomical knowledge with practical surgical application, this chapter aims to serve as a valuable resource for both general and specialist surgeons involved in abdominal wall reconstruction. Illustrative diagrams and intraoperative images will support the anatomical descriptions, enhancing both didactic clarity and practical relevance for clinical decision-making.&lt;/p&gt;</dc:description> <dc:publisher>IntechOpen</dc:publisher> <dc:date>2026-01-22</dc:date> <dc:type>Chapter, Part Of Book</dc:type> <dc:identifier>https://www.intechopen.com/chapters/1237124</dc:identifier> <dc:identifier>doi:10.5772/intechopen.1013573</dc:identifier> <dc:language>en</dc:language> <dc:relation>ISBN:978-1-80631-100-2</dc:relation> <dc:rights>https://creativecommons.org/licenses/by/3.0/</dc:rights> <dc:source>https://www.intechopen.com/books/1004969 ; Abdominal Hernia Surgery - Principles, Techniques, and Innovations in Open and Minimally Invasive Repair</dc:source> </oai_dc:dc>
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spelling intech-12371242026-01-22 Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair Gloria Goi Claudio Guerci Luca Ferrario Andrea Kazemi Nava Piergiorgio Danelli Health Sciences <p>A thorough understanding of abdominal wall anatomy is foundamental to safe and effective hernia repair. The complex and highly organized arrangement of muscular, fascial, and neurovascular structures and their relationships demands careful analysis, particularly in the context of modern surgical techniques such as component separation and minimally invasive approaches like extended totally extraperitoneal and robotic transversus abdominis release. This chapter will provide a comprehensive, clinically oriented review of the functional anatomy of the abdominal wall, progressing sistematically from the superficial layers to the posterior rectus sheath and transversalis fascia. Particular attention is given to the anatomical planes and potential spaces that are critical to both open and minimal invasive surgical approaches. Key surgical landmarks, including the semilunar line, arcuate line, and major neurovascular bundles, are described in detail, along with common anatomical variations that may influence operative strategy and surgical decision-making. An emphasis is placed on the biomechanical role of each abdominal wall layer and its relevance to defect formation, hernia classification, and reconstructive planning. Understanding these principles allows for more accurate selection of surgical techniques, improved restoration of abdominal wall function, and reduced rates of recurrence and postoperative morbidity. By integrating anatomical knowledge with practical surgical application, this chapter aims to serve as a valuable resource for both general and specialist surgeons involved in abdominal wall reconstruction. Illustrative diagrams and intraoperative images will support the anatomical descriptions, enhancing both didactic clarity and practical relevance for clinical decision-making.</p> IntechOpen 2026-01-22 Chapter, Part Of Book https://www.intechopen.com/chapters/1237124 doi:10.5772/intechopen.1013573 en ISBN:978-1-80631-100-2 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/1004969 ; Abdominal Hernia Surgery - Principles, Techniques, and Innovations in Open and Minimally Invasive Repair
spellingShingle Health Sciences
Goi, Gloria
Guerci, Claudio
Ferrario, Luca
Nava, Andrea Kazemi
Danelli, Piergiorgio
Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair
title Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair
title_full Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair
title_fullStr Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair
title_full_unstemmed Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair
title_short Abdominal Wall Anatomy: Surgical Landmarks and Functional Layers in Hernia Repair
title_sort abdominal wall anatomy surgical landmarks and functional layers in hernia repair
topic Health Sciences
url https://www.intechopen.com/chapters/1237124
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