en Utilisation of Umbilical Hernia Defect for Insertion of Laparoscope and Balloon Dissector in Totally Extra Peritoneal Hernia Repair Basic Science Basic Science Case Report Case Report <sec> <div>Introduction</div> <p>With the growing popularity of totally extraperitoneal (TEP) laparoscopic inguinal hernia repair, many surgeons will inevitably face the clinical conundrum of how to simultaneously repair an umbilical hernia and an inguinal hernia via TEP approach.</p> </sec> <sec> <div>Case Presentation</div> <p>In this case report, we describe the successful use of the umbilical hernia defect to insert the balloon dissector and gas insufflator in the pre-peritoneal plane without making an additional fascial incision.</p> </sec> <sec> <div>Conclusions</div> <p>We suggest that this best preserves the integrity of the umbilical hernia repair by avoiding an additional area of weakness in the rectus sheath.</p> </sec> Hernia,Hernia, Inguinal,Hernia, Umbilical,Laparoscopy,General Surgery 100 110 http://annbsurg.iums.ac.ir/browse.php?a_code=A-10-31-139&slc_lang=en&sid=1 Julian Klaus Smyth 1003194753284600227 1003194753284600227 Yes Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, New South Wales, Australia Christopher Bahdah Nahm 1003194753284600228 1003194753284600228 No Department of Gastrointestinal Surgery, Royal North Shore Hospital, University of New South Wales, New South Wales, Australia Samuel Kuo 1003194753284600229 1003194753284600229 No