RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187823224
T1 Repair of Inguinal Hernia, Laparoscopic Transabdominal Preperitoneal
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187823224
RD 2024/04/23
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.