Lap Inguinal Hernia Repair Anatomy

The anatomy of these procedures is totally different from traditional open procedures because they are performed from different direction and in different space.

Lap inguinal hernia repair anatomy. The major indication for repair is to prevent incarceration. It is the confusion that laparoscopic repair is more complex and is not widely available. Laparoscopic inguinal hernia repair is performed more and more nowadays. The important anatomy essentials for laparoscopic inguinal hernia repair will be discussed in this.

Laparoscopic procedures are especially suitable for recurrent and bilateral inguinal hernia 1 2 the major procedures include intraperitoneal onlay mesh ipom repair transabdominal preperitoneal tapp repair and total extraperitoneal tep repair. Inguinal hernia repair in recurrence generally the short term recurrence rate of laparoscopic inguinal hernia repair is reported to be less than 5 percent. 6 1 instruments in tep technique additionally and in order to create more preperitoneal space we will use a pdb balloon trocar and subsequently a 12 mm btt structural trocar. Symptomatic inguinal hernias require surgical repair.

Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Laparoscopic repair in expert hands is now quite safe and effective and is an excellent alternative for patients with an inguinal hernia. The transabdominal preperitoneal tapp approach is the most frequently. The mesh and the fixation method used will be dealt with in other chapters.

This occurs when the bowel becomes trapped and strangulated in the hernia defect thus stopping blood flow to the bowel segment. In both the open and laparoscopic repair procedures the aim is to cover the whole inguinofemoral area by a preperitoneal prosthetic mesh and recurrences should not occur. In addition the ideal method should achieve these with the least invasion pain or disturbance of normal anatomy. Laparoscopic versus open repair.

6 2 pdb trocar fig.