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 2022/08/15 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.