Image Category: Fundamentals: Inguinal Hernia Repair: Transab

Direct Inguinal Hernia

Laparoscopic field — Laparoscopic view of a big direct Inguinal Hernia.

Simulation Education: For Tapp and TEP Laparoscopic Inguinal Hernia Repair

We have previously described the McGill Laparoscopic Inguinal Hernia Simulator (MLIHS), which can be used to perform both transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repairs. In addition, we developed the Global Operative Assessm

Pntaloon Inguinal Hernia

Image obtained during Laparoscopic Hernioraphy. This illustrates the TAP view of a left direct (black arrow) and indirect hernia (White arrow) in a man. Omentum is incarcerated in direct hernia.

Direct Inguinal Hernia

Image obtained during Laparoscopic Hernioraphy.

Giant Inguinosocrotal Herinia

This is a typical Obstructed Indirect Inguinal Hernias

Mesh stapled in place using TEP approach

Mesh stapled in place using TEP approach.

Sagittal view of extraperitoneal dissection

Sagittal view of extraperitoneal dissection. A space is developed between peritoneum and abdominal wall. Note that the bladder is mobilized downward.

Trocar placement for TEP

Trocar placement for TEP.

Closing peritoneal flap over the mesh with staples

Closing peritoneal flap over the mesh with staples.

Palpate the head of the stapler/tacking device

Surgeon using nondominant (left) hand to palpate the head of the stapler/tacking device through the anterior abdominal wall, thus verifying stapler/tacking device position relative to external landmarks and providing counterpressure.

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