THE FOUR-PORT LAPAROSCOPIC TAPP CONFIGURATION FOR EASY LEFT SIDE DISSECTION- THE BELIEVERS PORT POSITIONS.

Abstract

The struggle for dissection of the left side in a case of bilateral inguinal hernia using the conventional three-port technique in TAPP repair, faced by many surgeons, has remained unaddressed. This is especially true in the Indian scenario where the length between the xiphisternum and the umbilicus is greater than the length between the umbilicus and the pubic symphysis. We accommodated one more port on the left side of the camera port and tested the ease of dissecting the limits of Laparoscopic TAPP dissection on the left side using these ipsilateral ports. We called the final configuration, The Believers Port Positions. This modification made the dissection of the left side much easier, faster and with lesser complications at the cost of an additional small port. This case series describes our experience with the Believers Port Positions in 12 patients.