Laparoscopic field â Laparoscopic view of a big direct Inguinal Hernia.
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
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.
Image obtained during Laparoscopic Hernioraphy.
This is a typical Obstructed Indirect Inguinal Hernias
Mesh stapled in place using TEP approach.
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.
Closing peritoneal flap over the mesh with staples.
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.