Figure 5.

Important surgical steps of the modified Stoppa approach. In the retrosymphysial space, a lateral preparation is carried out, where the corona mortis should be visualized (A) and, thereafter, clipped (B). The carbon retractors are then inserted (C,D) using a suction retractor (C). Placement of the suprapectineal plate with a quadrilateral bearing surface is shown (D–F). Caution is required when removing the retractors, as important structures such as the external iliac vein or the obturator vessels can be injured (G,H). The viewing direction is shown at the top left of each image, with the position of the arrow indicating the direction.