The Transabdominal Preperitoneal Approach

(TAPP)

 

Poschong Suesat , MD

Bhumibol Adulyadej Hospital

Royal Thai Air Force

[email protected]

 

 

 

 Peritoneal Transection 

 

 

 

 Ilio-pubic Tract Exposure

 

 

 Identification of Medial Part

(Cooper’s Ligament)

 

 

 

Insertion Of Mesh 

 

 

 

Fixation With Staple 1 

(Bimanual)

 

 

 

Fixation With Staple 2

(Cooper’s Ligament)

 

 

 

Peritoneal Continuous Suture

 

 

 

Complete Peritoneal Closure