Surgical procedure
hernia
INFILTRATION, DECUBITUS, PNEUMOPERITONEUM
Throughout the procedure, the patient underwent general anesthesia at the beginning and infiltration of the trocar incisions with ropivacaine at the end. The patient was placed in horizontal dorsal decubitus, slightly inclined in a Trendelenburg position. A periumbilical incision was made to inflate the pneumoperitoneum and position a 10mm trocar. Another two 5mm trocars were positioned approximately 8cm laterally to the optics trocar.TAPP hernioplasty was performed with incision of the peritoneum, dissection of the Bogros and Retzius spaces, identification and dissection of the hernia sac, implantation of a 15 x 12cm Prolene™ mesh (with bilateral coverage), and fixation with staples, using the Securestrap™ device.In Group 2, before the hernioplasty, a varicocelectomy was performed, with ligation of the testicular veins with 2.0 cotton thread. The peritoneal flap was closed with continuous 3.0 Vicryl™ suture. Removal of the trocars took place under direct vision.