Here I present you a TAPP surgery performed after TEP for hernia reccurence and chronic pain.
The anatomy and the dissection plans are modified due to fibrosis.
The dissection can be challenging mostly if the previous mesh is in contact with the iliac vessels.
Check the link for the video:
https://medtube.net/general-surgery/medical-videos/32233-tapp-surgery-after-tep
Sorin Cimpean - General Surgeon 