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Hernia Surgeon
CT Hernia – 1. Everyone has a urachal remnant. Whether or not it is the cause of your symptoms is difficult, if not impossible to know. 2. If you have bilateral inguinal hernias, and a laparoscopic approach is planned, it would usually be inappropriate to not repair both sides. 3. Either TEP or TAPP is appropriate, no need to alter port site location. 4. Repairing the umbilical hernia at the same time with or without mesh is also appropriate. With limited info, my approach to this would probably be bilateral TEP with umbilical hernia repair through the umbilical incision (with or without mesh). Hope this helps!