Utilisation of umbilical hernia defect for insertion of laparoscope and balloon dissector in totally extra peritoneal hernia repair

Julian Klaus Smyth, Christopher Bahdah Nahm, Samuel Kuo

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    Abstract

    Introduction: With the growing popularity of totally extraperitoneal (TEP) laparoscopic inguinal hernia repair, many surgeons will inevitably face the clinical conundrum of how to simultaneously repair an umbilical hernia and an inguinal hernia via TEP approach. Case Presentation: In this case report, we describe the successful use of the umbilical hernia defect to insert the balloon dissector and gas insufflator in the pre-peritoneal plane without making an additional fascial incision. Conclusions: We suggest that this best preserves the integrity of the umbilical hernia repair by avoiding an additional area of weakness in the rectus sheath.
    Original languageEnglish
    Pages (from-to)e16076-1-e16076-3
    Number of pages3
    JournalJournal of minimally invasive surgical sciences
    Volume3
    Issue number3
    Publication statusPublished - 2014

    Bibliographical note

    Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

    Keywords

    • Hernia
    • Hernia, Inguinal
    • Hernia, Umbilical
    • Laparoscopy
    • General Surgery

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