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腹腔鏡疝氣手術 Laparoscopic Herniorraphy for Inguinal Hernia Feng-Chuan Tai, MD Department of General Surgery, Cathay General Hospital 一般外科 戴鋒泉 醫師.

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Presentation on theme: "腹腔鏡疝氣手術 Laparoscopic Herniorraphy for Inguinal Hernia Feng-Chuan Tai, MD Department of General Surgery, Cathay General Hospital 一般外科 戴鋒泉 醫師."— Presentation transcript:

1 腹腔鏡疝氣手術 Laparoscopic Herniorraphy for Inguinal Hernia Feng-Chuan Tai, MD Department of General Surgery, Cathay General Hospital 一般外科 戴鋒泉 醫師

2 The Most Common Types of Inguinal Hernia v Indirect Inguinal Hernia v Direct Inguinal Hernia v Femoral Hernia

3 Inguinal Anatomy as Viewed Through a Laparoscope v Inferior Epigastric Vessels v Spermatic Vessels v Vas Deferens v Triangle of Doom v Internal Ring v Illiopubic Tract  Cooper ’ s Ligament  Hesselbach ’ s Triangle v Femoral Canal v Inguinal Canal v Conjoined Tendon v Aponeurosis of Fascia

4 Trendelenburg Position & Trocar Site

5 Three Current Techniques of Laparoscopic Herniorrhaphy v Transabdominal Preperitoneal (TAPP) v Intraperitoneal Onlay Mesh (IPOM) v Totally Extraperitoneal (TEP)

6 TAPP

7 IPOM

8 TEP

9


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