prosthetic inguinal hernioplasty through a Pfannenstiel approach.
An abdominal radiograph demonstrated bulging of the properitoneal
lines with a paucity of bowel gas pattern.
The central floating bowel loops, bulging flanks and loss of soft tissue planes and properitoneal
lines were indicative of ascites.
By using a properitoneal
approach, surgeons who performed both an open inguinal hernia repair and an open radical prostatectomy in the same surgical session have reportedly had good results.
Usually the innermost fat layer, the properitoneal
fat fine, however, is discernible.