V-047 LAPAROSCOPIC TEP- RECURRENT MASSIVE REDUCICLE COMPLETE SCROTAL HERNIA

Abstract The patient was 67 yrs old gentlemen. Swelling over the Left groin for last one and half year with recent onset discomfort. He operated on same side 2 years back open suregry. On clinical examination - large scrotal reducile hernia observed, another reducible herinia primary obseved right side. also having symptoms of bladder outlet obstruction which tablet. silodosin started. A complete workup done patiemt told about need folys post operative. underwent surgery under general anesthesia. (video enclosed). operative period eneventful follow up 8 months there is no recurrence. Why laparoscopy Hernia reducible, recurrence medial aspect. Less tone abdominal musculature. Challaanges in sac reduction. Opening may happen loss TEP space, Management sac, Large mesh covering all defects, seroma, Mesh fixation mutiple places surggical mangement contrallaetral setting.