Laparoscopic Bilateral Inguinal Hernia Repair

This video demonstrates laparoscopic bilateral inguinal hernia repair. Laparoscopy is gold standard for bilateral inguinal hernia repair. In this surgery, the abdomen of the patient is inflated with a harmless CO2 gas. This gives the surgeon a better look at abdominal organs. He’ll make a few small incisions in the abdomen, usually three. He’ll insert a thin instrument with a tiny camera on the end (laparoscope). The surgeon uses images from the laparoscope as a guide to repairing the hernia with mesh. For laparoscopic surgery, you’ll receive general anesthesia. The TAPP may be a better option for bilateral inguinal hernia repair in the setting of an incarcerated hernia as it provides better visualization and space for manipulation of viscera. A low threshold for conversion should always be maintained when attempting a laparoscopic repair for an incarcerated hernia.