Critical view of the myopectineal orifice - our experience

The critical view of the myopectineal orifice is a concept established in 2016 by the International Hernia Collaboration Facebook Group, and it is comprised of several recommendations for safe minimally invasive inguinal hernia repair. Using this concept and contemporary understanding of the posterior anatomy of the inguinal region in 2020, Claus et al. proposed the ten golden rules to fully standardize the technique of laparoscopic inguinal hernia repair. These rules are currently essential steps that every surgeon must follow.
The goal is to present our experience with the use of contemporary concepts and recommendations for minimally invasive inguinal hernia repair.
We retrospectively analyzed a single surgeon's experience in Clinical hospital Shtip, with elective inguinal hernia repair from 2016 to 2024 using medical documentation.
Out of 309 elective inguinal hernia repairs performed by a single surgeon in the same number of patients over the nine-year period, 222 (72.08%) were open according to Lichtenstein, and 86 (27.92%) were laparoscopic performed by Transabdominal preperitoneal approach (TAPP). The laparoscopic approach was used for relatively younger patients with an average age of 48.76 vs 57.18, and mostly for bilateral inguinal hernia in 72 (83.72%) patients.
After completing the long-term learning curve, careful follow-up of modern recommendations is of basic importance for a safe laparoscopic inguinal hernia repair.