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Laparoscopic Totally Extraperitoneal (TEP) Left Indirect Inguinal Hernia Repair with Mesh

Victoria J. Grille, MD; Randy S. Haluck, MD
Penn State Health Milton S. Hershey Medical Center

1. Introduction

2. Patient Preparation

3. Incision and Access to the Preperitoneal Space

4. Placement of Ports

5. Examination of Asymptomatic Side to Rule out any Hernia

6. Dissection

  1. Identification of Pubic Symphysis
  2. Evaluation of Femoral Space to Identify any Hernias
  3. Medial to Lateral Dissection of Indirect Inguinal Hernia
  4. Reduction of Indirect Inguinal Hernia Sac

7. Mesh Placement

8. Closure

9. Post-op Remarks