RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127274279
T1 REPAIR OF INGUINAL HERNIA, LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP)
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127274279
RD 2021/03/03
AB The  indications  for  inguinal  hernia  repair  have  been  described  in  the  preceding  chapters.  The  techniques  that  will  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,  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  TEP  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  TAPP  repair,  as  well  as  the  one  from  the  preperitoneal  perspective  in  TEP,  is  shown  on  the  preceding  Chapter  111,  entitled  Laparoscopic  Anatomy  of  the  Inguinal  Region.  In  addition,  proficiency  with  laparoscopic  skills  or  mentored  experience  with  this  type  of  hernia  repair  is  strongly  recommended.