This was a prospective randomized study consisting of 40 patients treated with hernioplasty, 20 of whom underwent Laparoscopic Total Extraperitoneal (TEP) mesh repair and the other 20 patients underwent Laparoscopic Transabdominal Preperitoneal
(TAPP) mesh repair of inguinal hernia in our hospital from October 2013 to March 2015, which included a minimum of one year of follow-up.
Applications include identifying cystic arteries during gallbladder dissections, assessing mesenteric arteries during colectomies, identifying femoral vessels during preperitoneal
hernia repair, assisting in presenting testicular arteries in varicocele ligations, identifying blood flow in total and partial nephrectomy, and helping identify neurovascular bundles in radical prostatectomies.
Booth # 325 * The Bard[R] Modified Kugel[R] patch repair is a preperitoneal
repair performed through an open, anterior approach.
8) In contrast, the PHS mesh repair incorporating a one-piece bilobar device connected by a mesh cylinder combines three elements; the mesh covers, the myopectineal orifice and incorporates a circular preperitoneal
layer to plug the internal ring with another onlay sheet that covers the posterior wall of the inguinal canal.
In laparoscopic hernia repair approaches, Total Extraperitoneal Repair (TEP), Trans Abdominal Preperitoneal
Repair (TAPP) and Intraperitoneal Onlay Mesh Repair (IPOM) are known procedures.
space was dissected and hernial sac was identified.
9,10] Retropublic, preperitoneal
, groin or laparoscopic approaches may be used if the diagnosis is made preoperatively.
The mesh used was prolene mesh either as intraperitoneal placement or preperitoneal
plane was created by passing a finger or a piece of gauze through the internal ring itself.
This is due to more time needed to create a preperitoneal
Preoperative ultrasound showed heterogenous mass lesion arising from anterior abdominal wall taking minimal vascularity, computed tomography scan revealed a mass lesion isodense to muscle noted arising from anterior abdominal wall originating from the rectus abdominis with loss of fat plane in preperitoneal
layer possibly desmoid tumor.
Lastly, a giant polypropylene mesh is inserted in the preperitoneal
space to cover the midline defect created and to buttress both inguinal regions.