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Title
1. Introduction
2. Preparation
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a. Position the Patient
b. Surgical Site and Scrotum Prep
c. Draping and Setup
3. Infraumbilical Incision
4. Access to the Preperitoneal Space and Placement of Ports
5. Visualization of the Public Tubercle
6. Following Cooper's Ligament Laterally Towards Hesselbach's Triangle
7. Direct Space Examination and Reduction of any Hernia
8. Femoral Space Examination and Reduction of any Hernia or Fat
9. Identification and Elevation of Epigastric Vessels and Dissection Laterally to the ASIS
10. Lateral-to-Medial Indirect Space Dissection and Reduction of any Hernia or Preperitoneal Fat
11. Repeat on the Right Side
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a. Follow Cooper's Ligament Laterally Towards Hesselbach's Triangle
b. Examine the Direct Space and Reduce any Hernia
c. Examine the Femoral Space and Reduce any Hernia or Fat
d. Identification and Elevation of Epigastric Vessels and Dissection Laterally to the ASIS
e. Lateral-to-Medial Indirect Space Dissection and Reduction of any Hernia or Preperitoneal Fat
f. Clearing the Cord and Vas Deferens of any Peritoneum
12. Preparation of the Myopectineal Orifice for Flat Mesh Placement
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a. Clearing the Left Cord and Vas Deferens of any Peritoneum
13. Changing Gloves
14. Placement of the Mesh
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a. Fixate with Tacks
b. Desufflation Under Direct Visualization
15. Closure
16. Post-op Remarks
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Bilateral Laparoscopic Inguinal Hernia Repair with Mesh Using the Totally Extraperitoneal (TEP) Technique
Shirin Towfigh, MD
Beverly Hills Hernia Center
Tags:
General Surgery
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Procedure Outline
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Authors
Shirin Towfigh, MD
Filmed At:
Beverly Hills Hernia Center
Article Information
Publication Date
5/6/2025
Article ID
430
Production ID
0430
Volume
2025
Issue
430
DOI
https://doi.org/10.24296/jomi/430