TY - CHAP M1 - Book, Section TI - Repair of Inguinal Hernia, Laparoscopic Transabdominal Preperitoneal A1 - Ellison, E. Christopher A1 - Zollinger, Jr., Robert M. A1 - Pawlik, Timothy M. A1 - Vaccaro, Patrick S. A1 - Bitans, Marita A1 - Baker, Anthony S. Y1 - 2022 N1 - T2 - Zollinger’s Atlas of Surgical Operations, 11e AB - The indications for inguinal hernia repair have been described in preceding chapters. The techniques that remain to be described include the transabdominal preperitoneal (TAPP) and the totally extraperitoneal (TEP). Laparoscopic repair may be applied to indirect, direct, or femoral hernias. Laparoscopic inguinal herniorrhaphy is contraindicated in the presence of intraperitoneal infection and irreversible coagulopathy and in patients who are poor risks for general anesthesia. Relative contraindications include large sliding hernias that contain colon, long-standing irreducible scrotal hernias, ascites, and previous suprapubic surgery. For totally extraperitoneal repairs, specific relative contraindications include incarceration and bowel ischemia. A thorough knowledge of the anatomy of the inguinal region is essential when it is approached posteriorly using a laparoscope. The view of this area as seen from the intraperitoneal perspective in the transabdominal preperitoneal repair, as well as the one from the preperitoneal perspective in the totally extraperitoneal repair, is shown in Chapter 114. In addition, proficiency with laparoscopic skills or mentored experience with this type of hernia repair is strongly recommended. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1187823224 ER -