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Transabdominal Preperitoneal Hernia Repair (TAPP) Images

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Preoperative positioning.
VID 43, frame 1

herG4219

 

Medial umbilical ligament.
VID 43, frame 2

herG4220

 

Peritoneal incision.
VID 43, frame 3

herG4221

 

Peritoneal incision continued around neck of sac.
VID 43, frame 4

herG4222

 

Preperitoneal fat and fascia layer incised. Upper flap of peritoneum dissected.
VID 43, frame 5

herG4223

 

Completion of the upper flap.
VID 43, frame 6

herG4224

 

Wide lower flap created, exposing all anatomic landmarks.
VID 43, frame 7

herG4225

 

Position of tacks or staples relative to pectineal ligament.
VID 43, frame 8

herG4226

 

Mesh introduced and positioned.
VID 43, frame 9

herG4227

 

First staple placed.
VID 43, frame 10

herG4229

 

Additional medial staples placed.
VID 43, frame 11

herG4230

 

Stabilizing stitch in lateral roll cut and mesh unfurled.
VID 43, frame 12

herG4231

 

First staple in pectineal ligament adjacent to iliac vessels and vas.
VID 43, frame 13

herG4232

 

This page was last modified on 3/1/1998.
 

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