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See full list on Left double direct and indirect inguinal hernia: live uncut TAPP procedure In this live surgery, Prof. Didier Mutter demonstrates the laparoscopic repair of a left double direct and indirect inguinal hernia using a transabdominal preperitoneal approach (TAPP). Indirect and direct inguinal hernia. surgical placement of mesh over Hesselbach's triangle/inguinal canal and reinforce abdominal wall ; Femoral . surgical joining of Cooper's ligament to transversalis fascia