TAPP - Bilateral Direct Hernia
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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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