Peer-Reviewed Publication
Hernia2026;30(1)October 1, 2026Journal Article

Artificial intelligence-based anatomical segmentation in transabdominal preperitoneal repair of groin hernia.

Sakurako Izumi1, Jumpei Ikeda1, Hirofumi Kawakubo2, Masashi Takeuchi1,3, Yosuke Morimoto1, Kazuaki Matsui1, Satoru Matsuda1, Shutaro Hori1, Yuko Kitagawa1
1Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
2Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. hkawakubo@keio.jp.
3Direava inc, Tokyo, Japan.

Abstract

PURPOSE: Accurate identification of critical anatomical structures, including hernia orifices and Cooper's ligament, is crucial to ensure appropriate mesh placement during transabdominal preperitoneal repair (TAPP). However, the posterior view of the inguinal wall is often less familiar to general surgeons, possibly contributing to the intraoperative misidentification of key anatomical landmarks.…

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