Tapp Approach Por Bilateral Inguinal Hernia and Placement of Catheter for Capd: An Example of Healthcare Efficiency

Introduction Nowadays, the increasing complexity of patients, as well as continuous technological advances results in the existence of subjects with various pathologies susceptible to surgical management in the same procedure, with the consequent decrease in risk for the patient and greater efficiency for the healthcare system. The case described below is a clear example. Methods We present the case of a patient with bilateral inguinal hernia who also presents with end-stage renal disease due to polycystic kidney disease pending dialysis initiation. The patient opts for peritoneal dialysis; therefore, the repair of inguinal defects is evaluated along with the placement of the dialysis catheter in the same surgical setting. Results A TAPP approach was used for the repair of bilateral inguinal hernia, and subsequently, the 5 mm trocar in the left flank was utilized for the insertion of the peritoneal dialysis catheter under straight vision and its proper intraabdominal placement in the Douglas pouch. Conclusion Minimally invasive surgery opens up a broad field of opportunities that enables us to perform multiple procedures in a single intervention, reducing, thus, surgical and anaesthetic risks for the patient. Additionally, it allows us to reduce significantly economic costs and increase efficiency by cutting down on admission times, as it is the case presented in which all the patient's needs are addressed with a single surgical intervention.