Direct and indirect inguinal hernia
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A 68-year-old woman presented to the emergency room with lower abdominal pain and a large reducible right lower quadrant hernia. CT scan showed the origin of the hernia in the right inguinal region with the sac extending cephalad and laterally between the internal and external oblique muscles
The patient was taken to the operating room for laparoscopic repair of the hernia. The initial approach was transabdominal (TAP) to visualize the defect and reduce the hernia.
The defect is shown after reduction of the hernia contents.
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