Sometimes Less Is Good Too – Laparoscopic 2 Port Totally Extra-Peritoneal (Tep) Procedure for Groin Hernia Repair

Abstract (Laparoscopic 2 port TEP procedure for Groin Hernia.) 58 yrs old, male presented with swelling in the left inguinal region since 2 yrs. No medical comorbidities. On Clinical Examination – Completely reducible Left Direct Inguinal Hernia. Ultrasonography Abdomen & Pelvis - S/O 1.2 cm defect in the left inguinal region. Preoperative labs – Within Normal limits. Plan – 2 port TEP hernia repair. Procedure Supine position under General Anesthesia. Ports Left sided Pre – Peritoneal space created. Dissection done in space of Retzius. Space of Bogros dissected. Spermatic cord dissection done. Sac separated and parietalisation of cord structures done. Sac reduced. 15 × 12 cm Polypropylene mesh inserted and placed to cover the myopectineal orifice of fruchaud. Hemostasis confirmed. Pneumo preperitoneum deflated. Port sites closed and strapping done. Minimal Blood loss. No Suction used during procedure. Post Operative period uneventful. No analgesics used post op. Discharged on day 2 post op.