The appearance of an indirect hernia is shown in an intraperitoneal laparoscopic view. This perspective makes identification of an indirect sac easy, but a direct defect difficult. The more common total extraperitoneal approach easily identifies a direct defect, but makes identification of an indirect defect more difficult. The laparoscopic mesh placement is designed to cover all three components of the inguinal floor.
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An intraperitoneal view of a femoral hernia is shown. Laparoscopic repair of a femoral defect involves reduction under direct vision with the potential for exteriorization, resection and anastomosis of a compromised segment. Laparoscopic repair of the defect can be done with onlay mesh or a plug and patch.
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