A 73-year-old male diagnosed with bilateral direct inguinal hernia underwent a transabdominal preperitoneal repair (TAPP) using a polypropylene mesh. The intra-operative findings include the following: · Mesh was fixed to the lateral border of the rectus abdominis muscle, transverse abdominis fascia, Cooper’s ligament, and pubic tuberosity using an absorbable fixation device. · The urinary bladder was not exposed, and the mesh was not in direct contact with it.
· The peritoneum was closed using a 3-D absorbable braid thread. · No notable complications were observed during closure, and the post-operative course was uneventful.