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Anatomical landmarks and TAPP approach for right inguinal hernia

J Leroy, MD, FRCS
Epublication WebSurg.com, Sep 2007;07(09). URL: http://websurg.com/doi/vd01en2175

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  • 2007-09-14
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This video, recorded live during a surgical course, demonstrates the TAPP approach to unilateral hernia repair. A detailed discussion of the technique is presented by Dr. Joel Leroy. This procedure is recommended to a general surgical audience. The author carries out this transabdominal preperitoneal approach using 3 trocars: a 12mm (for mesh and camera), and two 5mm trocars. After exploration to assess the anatomy, the author proceeds to determine the landmarks. With the left trocar, he takes down adhesions from a previous appendectomy. Using low-energy coagulation, he carries out the vertical incision. The procedure continues as he carries out the dissection laterally and then places the mesh.