76 year old male patient, presenting with symptomatic left inguinal hernia. Upon physical exam he is found to have an ombilical hernia with a 2 cm hernia neck, reducible, probable small bowel content, little symptomatology. He has a history of radiation for prostate cancer. He walks with a cane and has severe weakness in right leg, necessitating usage of left leg and left abdomen to compensate. We evaluated his options and chose a double ventral and inguinal TAPP.
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