Simultaneous laparoscopic totally extraperitoneal and transabdominal preperitoneal repair for bilateral inguinal hernia in a patient with a history of robotic prostatectomy – a video vignette

Patients undergoing radical prostatectomy are under the risk of developing inguinal hernia in the long term, most likely due to the damage to rectus muscle and anterior and posterior rectus sheaths, which loosens the transversalis aponeurosis, which, in turn weakens the internal inguinal ring [1-3]. Repair of these hernias using a laparoscopic approach can be challenging due to intense fibrosis and preperitoneal adhesions [4]. While several studies have shown the safety and feasibility of both totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repair of inguinal hernia in patients with a history of prostatic surgery [5-7], there are limited reports explaining the technical tips and tricks of this complex operation. This article is protected by copyright. All rights reserved.

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