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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

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Laparoscopic Repair of Inguinal & Femoral Hernias
Choice of Laparoscopic Mesh

 

   USSC SURGIPRO Mesh

This is the prosthetic Mesh we use the most. Most inguino-femoral herniaes are repaired by laparoscopy using a 6 x 6 i SurgiPro Mesh. We are now certain that the 5 x 3 i Mesh is too small for these repairs and expose the patient to an unacceptable recurrence rate.

   Ethicon-EndoSurgery SOFT PROLENE Mesh

This Prosthetic Mesh [Polypropylene Mesh]is rather new. We have use the 6 x 6 i size with great success in this clinical setting. It is softer than the USSC SurgiPro Mesh and for some surgeons this may be an operative advantage. It also has horizontal blue stripes which theoretically can help orient the mesh when deployed.

   Bard 3DMAX Mesh

This Mesh is a "three dimensional Mesh" and is custom constructed to deploy and mold the afflicted inguinal region. It has a good "fit" in totally extra-peritoneal repairs and many authors have used it without fixation or tacks/staples. The postulated advantage of placing a Mesh without fixation is a probable decrease in post-operative neuropathies [lateral cutaneous nerve, femoral branch and genital branches of the genitofemoral nerve]. This Mesh is unilateral [for left or right side repair] and comes in different sizes.

 


 

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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