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Live Video of TAPP Hernia Repair by Ipsilateral Port
General Surgery / May 23rd, 2020 11:59 am     A+ | a-

This video demonstrate TAPP (Transabdominal Preperitoneal Inguinal Hernia) Repair by Ipsilateral Port. The indications for laparoscopic inguinal hernia repair, TAPP or TEP, are the same for open inguinal hernia repair.  They may be ideal for bilateral inguinal hernias and recurrences from anterior approaches but is also appropriate with unilateral primary hernias when the surgeon is comfortable with the technique.  For young, active males with primary hernias, it may ofter decrease pain and an earlier return to activity.  Prior to lower abdominal surgery or pelvic radiation is strong relative contraindications, as these may make access to the preperitoneal space difficult. The hernia is visualized, and the peritoneum overlying it incised sharply.  Blunt dissection can be used to peel the peritoneal flaps inferiorly, exposing the inferior epigastric vessels, the pubic symphysis and the Cooper’s ligament, and the iliopubic tract.  A direct hernia should be reduced if seen, and an indirect dissected from the cord structures.  Femoral and obturator hernias can also be visualized and reduced.  Care is taken to avoid the “Triangle of Doom” containing the external iliac vessels bordered by the vas deferens medially and the gonadal vessels laterally. A mesh ranging from 10 to 15 cm in diameter of polypropylene or polyester is introduced through the optical trocar and positioned anterior along the pelvic wall with the center over of the primary hernia defect.
Dr. Sunita Kapil
May 26th, 2020 4:53 am
Very good video with clear and simple explanation! keep up the good work! Thanks for posting this educative video of TAPP Hernia Repair by Ipsilateral Port.
Dr. Sanjeev Nangia
May 26th, 2020 7:58 am
Excellent lecture of TAPP Hernia Repair by Ipsilateral Port. The lecture notes are precise and the content is really interesting.
Dr. Chandan Choudhary
May 27th, 2020 6:34 am
Great information about TAPP Hernia Repair by Ipsilateral Port. This information is very important for people. Thanks for sharing.
Dr. KIran Juyal
May 28th, 2020 7:54 am
I would like to thank you for the efforts you have made this video of TAPP Hernia Repair by Ipsilateral Port. I am hoping the same best work from you in the future as well. Thanks...
Dr. Mishra.
Dr. Stephen
May 28th, 2020 8:01 am
Wonderful video presentation of Laparoscopic TAPP Hernia Repair using ipsilateral port position techniques. It is really great to learn the mysteries Laparoscopy surgery. Dr Mishra make DOCTORS Life easier. Such a great Interesting and Educative video. Thanks for sharing.
Dr. Luis
May 28th, 2020 8:28 am
Wonderful video presentation of TAPP Hernia Repair by Ipsilateral Port. It is really great to learn Laparoscopy surgery from World Laparoscopy Hospital. This video is the best video ever. Very Interesting and Educative video you are the best. Thank you very much sir for sharing.
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