TAPP - Bilateral Direct Hernia
The TAPP 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 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 procedure even better:
- Alternative trocar placement
- Pre- peritoneal dissection
- Peritoneal dissection
- Sac transection
- Mesh introduction
After studying this TAPP course you are familiar with the most common complications:
- Seroma and surgical site infection
- Chronic postoperative inguinal pain
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Step by step
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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