Laparoscopic hernia repair is similar to other laparoscopic operative procedures. General anesthesia is given to the patient, and a small cut is made in or just below the navel. The abdomen is inflated with CO2 so that the surgeon can see the abdominal organs.

A pantaloon hernia which also called as dual hernia or Romberg's hernia or saddle bag hernia is defined as ipsilateral, concurrent direct and indirect inguinal hernias. Hernial sacs are present on both sides of the inferior epigastric vessels, and separated by the posterior wall of the inguinal canal brought down by the direct hernia.

 

Laparoscopic hernia repair is different from open surgery in the following ways:

 

A laparoscopic repair requires several small incisions instead of a single larger cut. If hernias are on both sides, both hernias can be repaired at the same time without the need for a second large incision. Laparoscopic surgery allows the surgeon to examine both groin areas and all sites of hernias for defects. Also, the patch or mesh can be placed over all possible areas of weakness, helping prevent a hernia from recurring in the same spot or developing in a different spot. General anesthesia is needed for laparoscopic repair.

Open hernia repair can be done under general, spinal, or local anesthesia. Laparoscopic repair of a hernia is more expensive than open surgery because of the higher cost of the slightly longer operating-room time and the cost of laparoscopic technology.

Ths video demonstrate laparoscopic repair of bilateral pantloon hernia repair by TAPP. A pantaloon hernia  is a very bad dual hernia or Romberg's hernia or saddle bag hernia which is defined as ipsilateral, concurrent direct and indirect inguinal hernias. Hernial sacs are present on both sides of the inferior epigastric vessels, and separated by the posterior wall of the inguinal canal brought down by the direct hernia. Laparoscopic surgery is gold standard for this type of hernia.