Main Menu Contact Disclaimer

Back
Up
Next

Laparoscopic Inguinal Hernia Repair

Contents
Overview
Anatomy
Technical Analysis
Laparoscopic Mesh
Instruments
OR Set-up
Trocars
Consent
Coding-Billing
TAPP Technique
TEP Repair
Post-op instructions
Mngt. Complications
Oucome Analysis
Photos
References

Emails and Questions

Search WebSite

Laparoscopic Repair of Inguinal & Femoral Hernias
Laparoscopic Inguinal Anatomy

The anatomy of the inguino-femoral region viewed via a telescope placed in  intra-abdominal position differs radically from the anatomy observed via an open or anterior approach. The laparoscopic surgeon needs to become familiar with the anatomical structure of this region. As all anatomical landmarks are covered with peritoneum, in the TAPP technique the peritoneum has to be first incised and a lower flap developed in order to expose the region adequately. In the TEP repair, the anatomical landmarks need to be meticulously exposed with blunt dissection. 

Our guidelines for the performance of a safe and secure laparoscopic inguinal hernia repair, mandate the following structures should be clearly and unequivocally identified: 

bulletCooper's Ligament
bulletThe Epigastric Vessels
bulletThe Spermatic Cord or the Round Ligament 
bulletThe Femoral Canal and the Iliac Vessels
bulletIn addition, the laparoscopic anatomical distinction between direct, indirect inguinal and femoral hernias should be well understood. Before a surgeon attempts to perform a laparoscopic inguinal or femoral hernia repair, he should memorize and be very familiar with the following diagrams. 

 

Anatomy with & without Peritoneal Coverage

 
Actual Views - TAPP Repair

 
Actual Views - TEP Repair

 
Recurrent Inguinal Hernia from an Open Repair


 

Procedural Videos
> Full TAPP Repair [Female}

>Full TAPP Repair [Male]

>Full TEP Repair [Male]

>Repair of Complications in TEP Repairs

> Repair of Complications in TAPP Repair

> Inserting and Using the TEP Balloon and Structural Trocar.

>Anchoring the Mesh Techniques in TAPP and TEP Repair

> TEP or TAPP: How to decide?


Back Next
Copyright [1990-2003] [TransMed Networks]. All rights reserved