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Femoral hernia repair – TIPP technique - general and visceral surgery
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The principle of this procedure involves closing the femoral hernia orifice with a synthetic mesh implanted via inguinal access. This requires division of the transversalis fascia which is closed subsequently with a simple Shouldice suture.
Splitting the aponeurosis of the external oblique and snaring the round ligament of uterus
Splitting the transversalis fascia and exposing the hernial orifice
Trimming and implanting the mesh anterior to the hernial orifice
Trim the mesh (in this case an adhesive model) to the appropriate size and implant it such that it will cover the posterior aspect of the hernial orifice. In the video clip note that the usual line of view, “from slightly anteroinferior“, is quickly changed to “from anterosuperior“, in order better view the implanted mesh deep down.
In the case demonstrated here the mesh is self-adhesive; otherwise fixate the mesh to the Cooper ligament with a few sutures.
Suturing the transversalis fascia
Suturing the aponeurosis of the external oblique, subcutaneous tissue and skin