A 49-year-old male had a laparoscopic hernia repair with good results and an uneventful recovery.Weeks later,as he reviewed his hospital bill,he noted that he had been charged for a preperitoneal distention balloon,polypropylene mesh,an endomechanical stapler,fibrin glue,and three endosurgical trocars.Which hernia repair technique was most likely performed on the patient?

Question

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The totally extraperitoneal patch (TEP)laparoscopic hernia repair technique was used on the patient.Access to the posterior rectus sheath is gained by trocar insertion in the periumbilical region.A balloon dissector is placed on the anterior surface of the posterior rectus sheath and inflated,thereby creating an optical cavity.The proximal peritoneal sac is closed with loop ligature to prevent pneumoperitoneum from occurring.A piece of polypropylene mesh is inserted; unfolded to cover the direct,indirect,and femoral spaces and rest over the cord structures; and carefully secured with a tacking stapler.Mesh may also be secured using fibrin glue,which prevents nerve or vascular injury.

A 49-Year-Old Male Had a Laparoscopic Hernia Repair with Good