Author/Authors :
Smyth، Julian Klaus نويسنده Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, New South Wales, Australia , , Nahm، Christopher Bahdah نويسنده Department of Gastrointestinal Surgery, Royal North Shore Hospital, University of New South Wales, New South Wales, Australia , , Kuo، Samuel نويسنده Department of Upper Gastrointestinal and Hepatobiliary Surgery, The Australian School of Advanced Medicine, Macquarie University, New South Wales, Australia ,
Abstract :
With the growing popularity of totally extraperitoneal (TEP) laparoscopic inguinal hernia repair, many surgeons will inevitably face the clinical conundrum of how to simultaneously repair an umbilical hernia and an inguinal hernia via TEP approach. In this case report, we describe the successful use of the umbilical hernia defect to insert the balloon dissector and gas insufflator in the pre-peritoneal plane without making an additional fascial incision. We suggest that this best preserves the integrity of the umbilical hernia repair by avoiding an additional area of weakness in the rectus sheath.
