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Laparoscopic TAPP procedure for bilateral inguinal hernia

J Leroy, MD, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Apr 2009;09(04). URL: http://websurg.com/doi/vd01en2527

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  • 2009-04-10
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This video demonstrates the trans-abdominal preperitoneal (TAPP) approach to bilateral inguinal hernia in a male patient with a BMI of 55. The surgeon performs the repair using a non-woven, non-absorbable polypropylene mesh. The author uses a 3-trocar approach: the first one is a 12mm supra-umbilical port (i.e., the trocar for the scope), and two 5mm ports on the right and on the left approximately at the crossing between the umbilical line and the mid-clavicular line. A clear explanation of all surgical landmarks is offered. The main objectives when doing a TAPP dissection are well exposed.