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TAPP repair for Bilateral Pantaloon Hernia
General Surgery / Jan 7th, 2017 11:26 am     A+ | a-
 
Laparoscopic hernia repair is similar to other laparoscopic operative procedures. General anesthesia is given to the patient, and a small cut is made in or just below the navel. The abdomen is inflated with CO2 so that the surgeon can see the abdominal organs.

A pantaloon hernia which also called as dual hernia or Romberg's hernia or saddle bag hernia is defined as ipsilateral, concurrent direct and indirect inguinal hernias. Hernial sacs are present on both sides of the inferior epigastric vessels, and separated by the posterior wall of the inguinal canal brought down by the direct hernia.
 
Laparoscopic hernia repair is different from open surgery in the following ways:
 
A laparoscopic repair requires several small incisions instead of a single larger cut. If hernias are on both sides, both hernias can be repaired at the same time without the need for a second large incision. Laparoscopic surgery allows the surgeon to examine both groin areas and all sites of hernias for defects. Also, the patch or mesh can be placed over all possible areas of weakness, helping prevent a hernia from recurring in the same spot or developing in a different spot. General anesthesia is needed for laparoscopic repair.

Open hernia repair can be done under general, spinal, or local anesthesia. Laparoscopic repair of a hernia is more expensive than open surgery because of the higher cost of the slightly longer operating-room time and the cost of laparoscopic technology.

Ths video demonstrate laparoscopic repair of bilateral pantloon hernia repair by TAPP. A pantaloon hernia  is a very bad dual hernia or Romberg's hernia or saddle bag hernia which is defined as ipsilateral, concurrent direct and indirect inguinal hernias. Hernial sacs are present on both sides of the inferior epigastric vessels, and separated by the posterior wall of the inguinal canal brought down by the direct hernia. Laparoscopic surgery is gold standard for this type of hernia. 

 
 
8 COMMENTS
Dr. Sidhu Sharma
#1
Apr 26th, 2020 6:09 am
This is a great posting of TAPP repair for the Bilateral Pantaloon Hernia video. This video has increased my surgery skills. Thanks.
Dr. Krishna Muthuswamy. N
#2
May 12th, 2020 11:22 am
Thanks for the posting of TAPP repair for the Bilateral Pantaloon Hernia video. You have a very gentle voice and good method of teaching, it was very helpful.
Motin
#3
May 16th, 2020 8:27 am
This is a really informative video. Everyone should know this necessary information of TAPP repair for Bilateral Pantaloon Hernia surgery. Sir Your video has cleared up my head. I had many doubts before watching this video. Thank you so much for uploading.
AMIT KUMAR
#4
May 21st, 2020 11:33 am
Thank you very much for posting this excellent video of TAPP repair for Bilateral Pantaloon Hernia. watching your video gave me a bit more information. Really i learn a lot's Thanks for sharing.
Dr. Sandesh
#5
May 22nd, 2020 12:36 pm
Excellent lecture of TAPP repair for Bilateral Pantaloon Hernia. The lecture notes are precise and the content is really interesting.
Dr. Sanjeev Nangia
#6
Jun 11th, 2020 6:28 am
Thanks Dr. Mishra for sharing this educative and impressive video of TAPP repair for Bilateral Pantaloon Hernia. you are great surgeon in this world.
Dr. Kunal Singh
#7
Jun 14th, 2020 6:38 pm
Amazing video, it deserves so much more Appreciate. This was an excellent demonstration. This video is indeed very beneficial and educative. Thanks for posting.

Dr.Durgesh Jha
#8
Jun 14th, 2020 6:47 pm
Wow I like your Teaching............. Thank you so much sir.....excellent video of TAPP repair for Bilateral Pantaloon Hernia and your beautiful skillful & technique. Thank you so much for this video! this is very helpful...You are...simply the the best.
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