Robotic-Assisted Laparoscopic (rTAPP) Bilateral Inguinal Hernia Repair
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Surgical Approach and Placement of Ports
- 3. Mesh Preparation
- 4. Dock Robot
- 5. Dissection
- 6. Right Hernia Sac Dissection
- 7. Posterosuperior Peritoneal Dissection
- 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
- Insert 8-mm Optical Trocar
- Insufflate the Abdomen
- Inject Marcaine for Ilioinguinal Nerve Block
- Insert 8-mm Lateral Trocars
- Inspect Anatomy
- Dissect Peritoneal Flap Inferomedially
- Expose the Midline Pubic Symphysis
- Dissect Preperitoneal Flap Inferolaterally
- Develop a Groove Medial to the Iliac Vein
- Separate Peritoneal Sac from Cord Structures
- Parietalize Vas and Spermatic Vessels
- Nerve Identification
