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Title
1. Introduction
2.Surgical Approach and Placement of Ports
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a. Insert 8-mm Optical Trocar
b. Insufflate the Abdomen
c. Inject Marcaine for Ilioinguinal Nerve Block
d. Insert 8-mm Lateral Trocars
3. Mesh Preparation
4. Dock Robot
5. Dissection
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a. Inspect Anatomy
b. Dissect Peritoneal Flap Inferomedially
c. Expose the Midline Pubic Symphysis
d. Dissect Preperitoneal Flap Inferolaterally
6. Right Hernia Sac Dissection
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a. Develop a Groove Medial to the Iliac Vein
b. Separate Peritoneal Sac from Cord Structures
c. Parietalize Vas and Spermatic Vessels
7. Posterosuperior Peritoneal Dissection
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a. Nerve Identification
8. Lipoma of the Cord Dissction
9. Left Preperitoneal Flap Dissection
10. Left Hernia Sac Dissection
11. Obtain and Verify Critical View of the Myopectineal Orifice
12. Mesh Placement
13. Closure
14. Post-op Remarks
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Robotic-Assisted Laparoscopic (rTAPP) Bilateral Inguinal Hernia Repair
David Lourié, MD, FACS, FASMBS
Huntington Memorial Hospital
Tags:
General Surgery
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Authors
David Lourié, MD, FACS, FASMBS
Filmed At:
Huntington Memorial Hospital
Article Information
Publication Date
3/2/2023
Article ID
230
Production ID
0230
Volume
2023
Issue
230
DOI
https://doi.org/10.24296/jomi/230