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Laparoscopic Inguinal Hernia Repair

Technical Analysis
Laparoscopic Mesh
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TEP Repair
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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?

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