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Transabdominal preperitoneal approach (TAPP)

J Leroy, MD, FRCS

Abstract

The description of the transabdominal preperitoneal approach (TAPP) covers all aspects of the surgical procedure used for the management of inguinal hernia. Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: hernia types, Nyhus classification, laparoscopic classification, exposure and exploration, incision of peritoneum, preperitoneal dissection, hernia sac dissection, preperitoneal space, the mesh, mesh placement, fixing the mesh, closing the peritoneum. Consequently, this operating technique is well standardized for the management of this condition.

  • 16732
  • 471
  • 2001-03-01
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