SlideShare ist ein Scribd-Unternehmen logo
1 von 22
Anatomy & Technique of the Laparoscopic Totally  Extra-Peritoneal Approach for Groin Hernia Repair Abeezar I. Sarela Consultant Surgeon St James’s University Hospital, Leeds
Agenda ,[object Object],[object Object],[object Object],[object Object]
Preparation & Position ,[object Object],[object Object],[object Object],[object Object],[object Object]
Theatre Set-Up ,[object Object],[object Object],[object Object],[object Object]
Steps for TEP Repair ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Access to Pre-Peritoneal Space ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
Creation of Pre-Peritoneal Space ,[object Object],[object Object],[object Object]
Placement of Accessory Ports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Steps of Dissection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Direct Hernias ,[object Object],[object Object]
Indirect Hernias ,[object Object]
 
Caution ,[object Object],[object Object]
Placement of Mesh ,[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

Bowel resection and anastomosis
Bowel  resection and anastomosisBowel  resection and anastomosis
Bowel resection and anastomosisAjayKumar4497
 
Ventral Hernia: Challenges and Choices
Ventral Hernia: Challenges and ChoicesVentral Hernia: Challenges and Choices
Ventral Hernia: Challenges and ChoicesGeorge S. Ferzli
 
Component seperation technique for the repair of very large ventral hernias
Component seperation technique for the repair of very large ventral hernias Component seperation technique for the repair of very large ventral hernias
Component seperation technique for the repair of very large ventral hernias nikhilameerchetty
 
Single Incision Laparoscopic Surgery
Single Incision Laparoscopic SurgerySingle Incision Laparoscopic Surgery
Single Incision Laparoscopic SurgerySumit Roy
 
Latest in Laparoscopic Hernia surgery
Latest in Laparoscopic Hernia surgeryLatest in Laparoscopic Hernia surgery
Latest in Laparoscopic Hernia surgerypiyushpatwa
 
Ventral hernia management
Ventral hernia managementVentral hernia management
Ventral hernia managementmanjil malla
 
Component separation for ventral hernias prof. ahm shamsul alam
Component separation for ventral hernias prof. ahm shamsul alamComponent separation for ventral hernias prof. ahm shamsul alam
Component separation for ventral hernias prof. ahm shamsul alamnoel alam
 
Lt hemicolectomy - Surgical Approach, Complications.
Lt hemicolectomy - Surgical Approach, Complications.Lt hemicolectomy - Surgical Approach, Complications.
Lt hemicolectomy - Surgical Approach, Complications.Vikas V
 
Component separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaComponent separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaSanjiv Haribhakti
 
Surgical Meshes and Methods of Fixation
Surgical Meshes and Methods of FixationSurgical Meshes and Methods of Fixation
Surgical Meshes and Methods of FixationGeorge S. Ferzli
 
Baseball diamond concept for port position in laparoscopy
Baseball diamond concept for port position in laparoscopyBaseball diamond concept for port position in laparoscopy
Baseball diamond concept for port position in laparoscopyJibran Mohsin
 
Abdominoperineal resection.pptx
Abdominoperineal resection.pptxAbdominoperineal resection.pptx
Abdominoperineal resection.pptxmasoom parwez
 
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPALLaparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPALdiliprajpal
 
Management of fistula in ano recent advances
Management of fistula in ano recent advancesManagement of fistula in ano recent advances
Management of fistula in ano recent advancesrks sivasankar
 
Laparoscopic Ventral Hernia Repair
Laparoscopic Ventral Hernia RepairLaparoscopic Ventral Hernia Repair
Laparoscopic Ventral Hernia RepairGeorge S. Ferzli
 
Different types of laparoscopic hernia repair
Different types of laparoscopic hernia repairDifferent types of laparoscopic hernia repair
Different types of laparoscopic hernia repairIbrahim Abunohaiah
 

Was ist angesagt? (20)

Bowel resection and anastomosis
Bowel  resection and anastomosisBowel  resection and anastomosis
Bowel resection and anastomosis
 
Ventral Hernia: Challenges and Choices
Ventral Hernia: Challenges and ChoicesVentral Hernia: Challenges and Choices
Ventral Hernia: Challenges and Choices
 
Component seperation technique for the repair of very large ventral hernias
Component seperation technique for the repair of very large ventral hernias Component seperation technique for the repair of very large ventral hernias
Component seperation technique for the repair of very large ventral hernias
 
Single Incision Laparoscopic Surgery
Single Incision Laparoscopic SurgerySingle Incision Laparoscopic Surgery
Single Incision Laparoscopic Surgery
 
Latest in Laparoscopic Hernia surgery
Latest in Laparoscopic Hernia surgeryLatest in Laparoscopic Hernia surgery
Latest in Laparoscopic Hernia surgery
 
Ventral hernia management
Ventral hernia managementVentral hernia management
Ventral hernia management
 
Component separation for ventral hernias prof. ahm shamsul alam
Component separation for ventral hernias prof. ahm shamsul alamComponent separation for ventral hernias prof. ahm shamsul alam
Component separation for ventral hernias prof. ahm shamsul alam
 
Lt hemicolectomy - Surgical Approach, Complications.
Lt hemicolectomy - Surgical Approach, Complications.Lt hemicolectomy - Surgical Approach, Complications.
Lt hemicolectomy - Surgical Approach, Complications.
 
Component separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaComponent separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall hernia
 
Surgical Meshes and Methods of Fixation
Surgical Meshes and Methods of FixationSurgical Meshes and Methods of Fixation
Surgical Meshes and Methods of Fixation
 
Baseball diamond concept for port position in laparoscopy
Baseball diamond concept for port position in laparoscopyBaseball diamond concept for port position in laparoscopy
Baseball diamond concept for port position in laparoscopy
 
Laparoscopic ipom plus
Laparoscopic ipom plusLaparoscopic ipom plus
Laparoscopic ipom plus
 
Abdominoperineal resection.pptx
Abdominoperineal resection.pptxAbdominoperineal resection.pptx
Abdominoperineal resection.pptx
 
Intestinal anastomosis and staplers
Intestinal anastomosis and staplersIntestinal anastomosis and staplers
Intestinal anastomosis and staplers
 
Types of mesh & complications
Types of mesh & complicationsTypes of mesh & complications
Types of mesh & complications
 
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPALLaparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
 
Management of fistula in ano recent advances
Management of fistula in ano recent advancesManagement of fistula in ano recent advances
Management of fistula in ano recent advances
 
Laparoscopic Ventral Hernia Repair
Laparoscopic Ventral Hernia RepairLaparoscopic Ventral Hernia Repair
Laparoscopic Ventral Hernia Repair
 
Different types of laparoscopic hernia repair
Different types of laparoscopic hernia repairDifferent types of laparoscopic hernia repair
Different types of laparoscopic hernia repair
 
TEP
TEPTEP
TEP
 

Andere mochten auch

Hernia Tapp
Hernia TappHernia Tapp
Hernia TappBPTE
 
Laparoscopica hernia inguinal ppt.....
Laparoscopica hernia inguinal ppt.....Laparoscopica hernia inguinal ppt.....
Laparoscopica hernia inguinal ppt.....MICHAEL GUTARRA
 
Laparoscopic repair of hernia- A Guide to Laparoscopic Hernia Surgery
Laparoscopic repair of hernia- A Guide to Laparoscopic Hernia SurgeryLaparoscopic repair of hernia- A Guide to Laparoscopic Hernia Surgery
Laparoscopic repair of hernia- A Guide to Laparoscopic Hernia SurgeryDr Md Omar Tabrez
 
Surgical Options In The Management Of Hernia Repair
Surgical Options In The Management Of Hernia RepairSurgical Options In The Management Of Hernia Repair
Surgical Options In The Management Of Hernia Repairsafarmas
 
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?George S. Ferzli
 
Hernia inguinal laparoscópica
Hernia inguinal laparoscópicaHernia inguinal laparoscópica
Hernia inguinal laparoscópicarikibelda
 
Inguinal hernia ppt
Inguinal hernia pptInguinal hernia ppt
Inguinal hernia pptViswa Kumar
 
2016 world guidelines for groin hernia management: The HerniaSurge Group
2016 world guidelines for groin hernia management: The HerniaSurge Group2016 world guidelines for groin hernia management: The HerniaSurge Group
2016 world guidelines for groin hernia management: The HerniaSurge GroupJibran Mohsin
 
Laparoscopic vs Open Inguinal Hernia repair
Laparoscopic vs Open Inguinal Hernia repairLaparoscopic vs Open Inguinal Hernia repair
Laparoscopic vs Open Inguinal Hernia repairAndrew Wright
 
Laparoscopic Inguinal Herniorrhaphy Pros and Cons
Laparoscopic Inguinal Herniorrhaphy Pros and ConsLaparoscopic Inguinal Herniorrhaphy Pros and Cons
Laparoscopic Inguinal Herniorrhaphy Pros and ConsGeorge S. Ferzli
 
Surgical anatomy of the inguinal canal
Surgical anatomy of the inguinal canalSurgical anatomy of the inguinal canal
Surgical anatomy of the inguinal canalVernon Pashi
 
Laparoscopic repair of inguinal hernias
Laparoscopic repair of inguinal hernias Laparoscopic repair of inguinal hernias
Laparoscopic repair of inguinal hernias Gergis Rabea
 
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and RecurrentTAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and RecurrentGeorge S. Ferzli
 
Management of Recurring Inguinal Hernias: Laparoscopic Repair (TAPP)
Management of Recurring Inguinal Hernias: Laparoscopic Repair (TAPP)Management of Recurring Inguinal Hernias: Laparoscopic Repair (TAPP)
Management of Recurring Inguinal Hernias: Laparoscopic Repair (TAPP)George S. Ferzli
 
Cos'è un'ernia inguinale? Storia ed attualità della terapia chirurgica
Cos'è un'ernia inguinale? Storia ed attualità della terapia chirurgicaCos'è un'ernia inguinale? Storia ed attualità della terapia chirurgica
Cos'è un'ernia inguinale? Storia ed attualità della terapia chirurgicaSalvatore Cuccomarino
 

Andere mochten auch (20)

Hernia Tapp
Hernia TappHernia Tapp
Hernia Tapp
 
Laparoscopica hernia inguinal ppt.....
Laparoscopica hernia inguinal ppt.....Laparoscopica hernia inguinal ppt.....
Laparoscopica hernia inguinal ppt.....
 
Laparoscopic repair of hernia- A Guide to Laparoscopic Hernia Surgery
Laparoscopic repair of hernia- A Guide to Laparoscopic Hernia SurgeryLaparoscopic repair of hernia- A Guide to Laparoscopic Hernia Surgery
Laparoscopic repair of hernia- A Guide to Laparoscopic Hernia Surgery
 
Surgical Options In The Management Of Hernia Repair
Surgical Options In The Management Of Hernia RepairSurgical Options In The Management Of Hernia Repair
Surgical Options In The Management Of Hernia Repair
 
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
 
Hernia inguinal laparoscópica
Hernia inguinal laparoscópicaHernia inguinal laparoscópica
Hernia inguinal laparoscópica
 
Inguinal hernia ppt
Inguinal hernia pptInguinal hernia ppt
Inguinal hernia ppt
 
Inguinal hernia
Inguinal herniaInguinal hernia
Inguinal hernia
 
2016 world guidelines for groin hernia management: The HerniaSurge Group
2016 world guidelines for groin hernia management: The HerniaSurge Group2016 world guidelines for groin hernia management: The HerniaSurge Group
2016 world guidelines for groin hernia management: The HerniaSurge Group
 
Laparoscopic vs Open Inguinal Hernia repair
Laparoscopic vs Open Inguinal Hernia repairLaparoscopic vs Open Inguinal Hernia repair
Laparoscopic vs Open Inguinal Hernia repair
 
Laparoscopic Inguinal Herniorrhaphy Pros and Cons
Laparoscopic Inguinal Herniorrhaphy Pros and ConsLaparoscopic Inguinal Herniorrhaphy Pros and Cons
Laparoscopic Inguinal Herniorrhaphy Pros and Cons
 
Surgical anatomy of the inguinal canal
Surgical anatomy of the inguinal canalSurgical anatomy of the inguinal canal
Surgical anatomy of the inguinal canal
 
Inguinal Hernia
Inguinal HerniaInguinal Hernia
Inguinal Hernia
 
Inguinal Hernia- Groin Swellings
Inguinal Hernia- Groin SwellingsInguinal Hernia- Groin Swellings
Inguinal Hernia- Groin Swellings
 
TEP Learning Curve
TEP Learning CurveTEP Learning Curve
TEP Learning Curve
 
Laparoscopic repair of inguinal hernias
Laparoscopic repair of inguinal hernias Laparoscopic repair of inguinal hernias
Laparoscopic repair of inguinal hernias
 
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and RecurrentTAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
 
Presentation
PresentationPresentation
Presentation
 
Management of Recurring Inguinal Hernias: Laparoscopic Repair (TAPP)
Management of Recurring Inguinal Hernias: Laparoscopic Repair (TAPP)Management of Recurring Inguinal Hernias: Laparoscopic Repair (TAPP)
Management of Recurring Inguinal Hernias: Laparoscopic Repair (TAPP)
 
Cos'è un'ernia inguinale? Storia ed attualità della terapia chirurgica
Cos'è un'ernia inguinale? Storia ed attualità della terapia chirurgicaCos'è un'ernia inguinale? Storia ed attualità della terapia chirurgica
Cos'è un'ernia inguinale? Storia ed attualità della terapia chirurgica
 

Ähnlich wie Laparoscopic groin hernia repair anatomy & technique

abdominoperinealresection-230308170906-3b30e42b (1).pptx
abdominoperinealresection-230308170906-3b30e42b (1).pptxabdominoperinealresection-230308170906-3b30e42b (1).pptx
abdominoperinealresection-230308170906-3b30e42b (1).pptxGokul Krishnan
 
Evolution of inguinal hernia repair
Evolution of inguinal hernia repairEvolution of inguinal hernia repair
Evolution of inguinal hernia repairasik hossain
 
Groin hernia 4th year
Groin hernia 4th year Groin hernia 4th year
Groin hernia 4th year Sameh Shehata
 
Classification & conservative surgeries for prolapse
Classification & conservative surgeries for prolapseClassification & conservative surgeries for prolapse
Classification & conservative surgeries for prolapseIndraneel Jadhav
 
Obstructed & stragulated hernia1
Obstructed & stragulated hernia1Obstructed & stragulated hernia1
Obstructed & stragulated hernia1Sharath !!!!!!!!
 
Abdominal hysterectomy.pptx
Abdominal hysterectomy.pptxAbdominal hysterectomy.pptx
Abdominal hysterectomy.pptxKavitaShewale2
 
10 Abdominal Wall Defects Dr Fidel
10  Abdominal Wall Defects Dr Fidel10  Abdominal Wall Defects Dr Fidel
10 Abdominal Wall Defects Dr FidelMD Specialclass
 
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...Anil Kumar
 
PPT by Dr Anil Kumar, Assitant Professor, AIIMS,Patna on Anal Fissure & Fistu...
PPT by Dr Anil Kumar, Assitant Professor, AIIMS,Patna on Anal Fissure & Fistu...PPT by Dr Anil Kumar, Assitant Professor, AIIMS,Patna on Anal Fissure & Fistu...
PPT by Dr Anil Kumar, Assitant Professor, AIIMS,Patna on Anal Fissure & Fistu...Anil Kumar
 
10. abdominal wall defects dr fidel
10. abdominal wall defects dr fidel10. abdominal wall defects dr fidel
10. abdominal wall defects dr fidelMD Specialclass
 
Rectal prolapse surgical approaches
Rectal prolapse  surgical approachesRectal prolapse  surgical approaches
Rectal prolapse surgical approachesDr. Kiran Pandey
 
Breast Reduction Surgery (mammaplasty) in Kolkata | Dr Jayanta Kumar Saha
Breast Reduction Surgery (mammaplasty) in Kolkata | Dr Jayanta Kumar SahaBreast Reduction Surgery (mammaplasty) in Kolkata | Dr Jayanta Kumar Saha
Breast Reduction Surgery (mammaplasty) in Kolkata | Dr Jayanta Kumar SahaCosmetic-Therapy Clinic
 

Ähnlich wie Laparoscopic groin hernia repair anatomy & technique (20)

abdominoperinealresection-230308170906-3b30e42b (1).pptx
abdominoperinealresection-230308170906-3b30e42b (1).pptxabdominoperinealresection-230308170906-3b30e42b (1).pptx
abdominoperinealresection-230308170906-3b30e42b (1).pptx
 
Evolution of inguinal hernia repair
Evolution of inguinal hernia repairEvolution of inguinal hernia repair
Evolution of inguinal hernia repair
 
Groin hernia 4th year
Groin hernia 4th year Groin hernia 4th year
Groin hernia 4th year
 
Classification & conservative surgeries for prolapse
Classification & conservative surgeries for prolapseClassification & conservative surgeries for prolapse
Classification & conservative surgeries for prolapse
 
Surgical approaches to spine
 Surgical approaches to spine Surgical approaches to spine
Surgical approaches to spine
 
Obstructed & stragulated hernia1
Obstructed & stragulated hernia1Obstructed & stragulated hernia1
Obstructed & stragulated hernia1
 
Abdominal hysterectomy.pptx
Abdominal hysterectomy.pptxAbdominal hysterectomy.pptx
Abdominal hysterectomy.pptx
 
abdominal wall
abdominal wallabdominal wall
abdominal wall
 
10 Abdominal Wall Defects Dr Fidel
10  Abdominal Wall Defects Dr Fidel10  Abdominal Wall Defects Dr Fidel
10 Abdominal Wall Defects Dr Fidel
 
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
 
PPT by Dr Anil Kumar, Assitant Professor, AIIMS,Patna on Anal Fissure & Fistu...
PPT by Dr Anil Kumar, Assitant Professor, AIIMS,Patna on Anal Fissure & Fistu...PPT by Dr Anil Kumar, Assitant Professor, AIIMS,Patna on Anal Fissure & Fistu...
PPT by Dr Anil Kumar, Assitant Professor, AIIMS,Patna on Anal Fissure & Fistu...
 
10. abdominal wall defects dr fidel
10. abdominal wall defects dr fidel10. abdominal wall defects dr fidel
10. abdominal wall defects dr fidel
 
Hernia
HerniaHernia
Hernia
 
ANATOMY OF DUODENUM
ANATOMY OF DUODENUMANATOMY OF DUODENUM
ANATOMY OF DUODENUM
 
Inguinal and Femoral hernia
Inguinal and Femoral herniaInguinal and Femoral hernia
Inguinal and Femoral hernia
 
Rectal prolapse surgical approaches
Rectal prolapse  surgical approachesRectal prolapse  surgical approaches
Rectal prolapse surgical approaches
 
Inguinal hernia
Inguinal herniaInguinal hernia
Inguinal hernia
 
Breast Reduction Surgery (mammaplasty) in Kolkata | Dr Jayanta Kumar Saha
Breast Reduction Surgery (mammaplasty) in Kolkata | Dr Jayanta Kumar SahaBreast Reduction Surgery (mammaplasty) in Kolkata | Dr Jayanta Kumar Saha
Breast Reduction Surgery (mammaplasty) in Kolkata | Dr Jayanta Kumar Saha
 
Abdominal incisions
Abdominal incisionsAbdominal incisions
Abdominal incisions
 
Open hernial repair
Open hernial repairOpen hernial repair
Open hernial repair
 

Mehr von foregutsurgeon

Rationale for Bariatric surgery: Medical & Financial Arguments
Rationale for Bariatric surgery:  Medical & Financial ArgumentsRationale for Bariatric surgery:  Medical & Financial Arguments
Rationale for Bariatric surgery: Medical & Financial Argumentsforegutsurgeon
 
Gastric Electrical Stimulation for Gastroparesis
Gastric Electrical Stimulation for GastroparesisGastric Electrical Stimulation for Gastroparesis
Gastric Electrical Stimulation for Gastroparesisforegutsurgeon
 
Surgery is Better than Medical Management for Non-Alcoholic Fatty Liver Disease
Surgery is Better than Medical Management for Non-Alcoholic Fatty Liver DiseaseSurgery is Better than Medical Management for Non-Alcoholic Fatty Liver Disease
Surgery is Better than Medical Management for Non-Alcoholic Fatty Liver Diseaseforegutsurgeon
 
Weight loss surgery safe & effective
Weight loss surgery   safe & effectiveWeight loss surgery   safe & effective
Weight loss surgery safe & effectiveforegutsurgeon
 
Weight loss surgery overview
Weight loss surgery   overviewWeight loss surgery   overview
Weight loss surgery overviewforegutsurgeon
 
Stomach pacemaker for weight loss
Stomach pacemaker for weight lossStomach pacemaker for weight loss
Stomach pacemaker for weight lossforegutsurgeon
 
The future of bariatric surgery
The future of bariatric surgeryThe future of bariatric surgery
The future of bariatric surgeryforegutsurgeon
 
Long term outcomes of the laparoscopic sleeve gastrectomy
Long term outcomes of the laparoscopic sleeve gastrectomyLong term outcomes of the laparoscopic sleeve gastrectomy
Long term outcomes of the laparoscopic sleeve gastrectomyforegutsurgeon
 
Incisionless procedures and stomach pacemaker for obesity
Incisionless procedures and stomach pacemaker for obesityIncisionless procedures and stomach pacemaker for obesity
Incisionless procedures and stomach pacemaker for obesityforegutsurgeon
 
Emergencies after bariatric surgery
Emergencies after bariatric surgeryEmergencies after bariatric surgery
Emergencies after bariatric surgeryforegutsurgeon
 
History of bariatric surgery
History of bariatric surgeryHistory of bariatric surgery
History of bariatric surgeryforegutsurgeon
 
Non cardiac chest pain
Non cardiac chest painNon cardiac chest pain
Non cardiac chest painforegutsurgeon
 
The surgical management of gastroesophageal cancer
The surgical management of gastroesophageal cancerThe surgical management of gastroesophageal cancer
The surgical management of gastroesophageal cancerforegutsurgeon
 
Laparoscopy for gastric cancer
Laparoscopy for gastric cancerLaparoscopy for gastric cancer
Laparoscopy for gastric cancerforegutsurgeon
 
Laparoscopic trans hiatal esophagectomy for early cancer-final
Laparoscopic trans hiatal esophagectomy for early cancer-finalLaparoscopic trans hiatal esophagectomy for early cancer-final
Laparoscopic trans hiatal esophagectomy for early cancer-finalforegutsurgeon
 

Mehr von foregutsurgeon (20)

Rationale for Bariatric surgery: Medical & Financial Arguments
Rationale for Bariatric surgery:  Medical & Financial ArgumentsRationale for Bariatric surgery:  Medical & Financial Arguments
Rationale for Bariatric surgery: Medical & Financial Arguments
 
Gastric Electrical Stimulation for Gastroparesis
Gastric Electrical Stimulation for GastroparesisGastric Electrical Stimulation for Gastroparesis
Gastric Electrical Stimulation for Gastroparesis
 
Surgery is Better than Medical Management for Non-Alcoholic Fatty Liver Disease
Surgery is Better than Medical Management for Non-Alcoholic Fatty Liver DiseaseSurgery is Better than Medical Management for Non-Alcoholic Fatty Liver Disease
Surgery is Better than Medical Management for Non-Alcoholic Fatty Liver Disease
 
Weight loss surgery safe & effective
Weight loss surgery   safe & effectiveWeight loss surgery   safe & effective
Weight loss surgery safe & effective
 
Weight loss surgery overview
Weight loss surgery   overviewWeight loss surgery   overview
Weight loss surgery overview
 
Stomach pacemaker for weight loss
Stomach pacemaker for weight lossStomach pacemaker for weight loss
Stomach pacemaker for weight loss
 
The future of bariatric surgery
The future of bariatric surgeryThe future of bariatric surgery
The future of bariatric surgery
 
Metabolic surgery
Metabolic surgeryMetabolic surgery
Metabolic surgery
 
Long term outcomes of the laparoscopic sleeve gastrectomy
Long term outcomes of the laparoscopic sleeve gastrectomyLong term outcomes of the laparoscopic sleeve gastrectomy
Long term outcomes of the laparoscopic sleeve gastrectomy
 
Incisionless procedures and stomach pacemaker for obesity
Incisionless procedures and stomach pacemaker for obesityIncisionless procedures and stomach pacemaker for obesity
Incisionless procedures and stomach pacemaker for obesity
 
Sop for rygb
Sop for rygbSop for rygb
Sop for rygb
 
Emergencies after bariatric surgery
Emergencies after bariatric surgeryEmergencies after bariatric surgery
Emergencies after bariatric surgery
 
History of bariatric surgery
History of bariatric surgeryHistory of bariatric surgery
History of bariatric surgery
 
Anti reflux surgery
Anti reflux surgeryAnti reflux surgery
Anti reflux surgery
 
Non cardiac chest pain
Non cardiac chest painNon cardiac chest pain
Non cardiac chest pain
 
Groin hernia repair
Groin hernia repairGroin hernia repair
Groin hernia repair
 
Gastroparesis
GastroparesisGastroparesis
Gastroparesis
 
The surgical management of gastroesophageal cancer
The surgical management of gastroesophageal cancerThe surgical management of gastroesophageal cancer
The surgical management of gastroesophageal cancer
 
Laparoscopy for gastric cancer
Laparoscopy for gastric cancerLaparoscopy for gastric cancer
Laparoscopy for gastric cancer
 
Laparoscopic trans hiatal esophagectomy for early cancer-final
Laparoscopic trans hiatal esophagectomy for early cancer-finalLaparoscopic trans hiatal esophagectomy for early cancer-final
Laparoscopic trans hiatal esophagectomy for early cancer-final
 

Kürzlich hochgeladen

Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 

Kürzlich hochgeladen (20)

Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 

Laparoscopic groin hernia repair anatomy & technique

  • 1. Anatomy & Technique of the Laparoscopic Totally Extra-Peritoneal Approach for Groin Hernia Repair Abeezar I. Sarela Consultant Surgeon St James’s University Hospital, Leeds
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.  
  • 8.  
  • 9.  
  • 10.  
  • 11.  
  • 12.  
  • 13.  
  • 14.  
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.  
  • 21.
  • 22.