TAPP - Bilateral Direct Hernia
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TAPP - Bilateral Direct Hernia

The TAPP – Bilateral Direct Hernia course will teach you:

  • Laparoscopic transabdominal treatment  of the hernia sac
  • Tension free reinforcement of the posterior wall of the inguinal canal

Special attention is paid to the following hazards you may encounter during this  TAPP – Bilateral Direct Hernia procedure:

  • Bladder and epigastric vessels injury
  • Corona mortis injury
  • Dissection in triangle of pain
  • Dissection in triangle of doom

With the following tips you might perform this TAPP – Bilateral Direct Hernia procedure even better:

  • Alternative trocar placement
  • Pre- peritoneal dissection
  • Peritoneal dissection
  • Sac transection
  • Mesh introduction

After studying this TAPP – Bilateral Direct Hernia course you are familiar with the most common complications:

  • Recurrence
  • Seroma and surgical site infection
  • Chronic postoperative inguinal pain

You might also be interested in:
Totally Extraperitoneal (TEP) Repair – Indirect Hernia
Open Inguinoscrotal Hernia Repair
Open Inguinal Hernia Repair (Lichtenstein) – Direct Hernia
Open Inguinal Hernia Repair (Lichtenstein) – Indirect Hernia

Step by step

Abominal approach

Skin

Mark

Mark the location of the subumbilical fold, the pubic tubercle and the two anterior superior iliac spines.
The abdominal approach in the form of an open approach is described in more detail in the specific course ‘Trocar placement’. In this case a closed approach is preferred and a 10 mm and two 5 mm trocars are used.

Alternative trocar placement

An open approach can also be chosen, for instance if the patients abdomen has been previously operated on.

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