Panel No. 4

With the Transversalis Fascia opened, the hernia is now able to be reduced into the fatty layer beneath. The anatomical layers of the hernia canal now become evident as demonstrated in this panel. Laterally is the inguinal ligament and medially from the outside of the hernia canal is the External Oblique and Transversalis Fascia underneath. The Transversus Abdominis Arch, a mixed muscular and tendinous structure that is now visible. The Shouldice technique closes the gap between the Transversus Abdominis Arch and the inguinal ligament.