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Learn TAPP Hernioplasty in the easiest way This is my endeavour to teach all the practicing and budding Surgeons the Art of laparoscopic Surgery. Ipsilateral TAPP eases your shoulder stress to zero. Spinal Anaesthesia under low pressure pneumoperitoneum is very beneficial for the surgeon plus tackers are not requires, no barbed sutures- only your skills that are required. Watch carefully as why tackers or mesh fixation is not required or should not be done. Lap Hernia Surgery is not that a difficult surgery as it is portrayed. I would love to teach all my skills to the willing Surgeons. Do leave behind your egos and join hands to excel in the Art of Laparoscopic Surgery The three major reasons that I have seen Surgeons shying away from Lap Hernia Surgery are : 1 - Chances of operative complication Lap Hernia has far less complication rates in trained hands and it is well documented. 2 - Long Learning Curve If you are good at routine laparoscopy, like lap chole, you only need a mentor and the learning curve is only 2-3 surgeries under guidance and your keen observer ship. 3 - Cost of mesh and tackers refrain patients from lap Hernia Sx All Lap hernia surgeries can be done with routine proline mesh and suturing. Its your skills that easily replace tackers and vi-pro meshes and it is actually better not to use tackers. "Hum Hai Na". That's why we are here at Laparoscopy Lancers Teaching the art of Seamless Laparoscopy.