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TEP Hernia Repair

Totally extraperitoneal laparoscopic inguinal hernia repair.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is TEP Hernia Repair?

Totally Extraperitoneal (TEP) repair is a laparoscopic approach that creates a balloon-dissected working space below the rectus muscle and over the preperitoneal fascia without breaching the peritoneum.

Trocars are placed in the preperitoneal plane, the spermatic cord and inguinal anatomy are dissected, the hernia sac is reduced, and a polypropylene mesh covers the entire myopectineal orifice; fixation is often unnecessary in primary cases.

Avoiding the abdominal cavity reduces the risk of bowel injury and adhesions and shortens postoperative ileus. Pain is mild, hospital stay is 1 day, and return to work occurs in 1-2 weeks; learning curve is steeper than TAPP.

Symptoms

Primary unilateral inguinal hernia
Bilateral hernia
Recurrent hernia (after open repair)
Need for fast recovery
Cosmetic concerns
Patient with prior abdominal surgery
Selected athletic patients

Risk Factors

Suitable for general anesthesia
Adequate laparoscopic experience
Absence of large scrotal hernia (relative)
No prior preperitoneal surgery
No severe coagulopathy
Tolerance to pneumoperitoneum
Avoidance of intra-abdominal entry

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent groin swelling
  • Recurrent hernia
  • Pulling sensation while standing
  • Acute severe pain (incarceration)
  • Trocar-site bulge after surgery

Treatment Methods

01
General anesthesia and balloon dissection
02
Trocar placement in the preperitoneal plane
03
Identification of the myopectineal orifice
04
Hernia sac reduction
05
Polypropylene mesh placement
06
Often no fixation in primary cases
07
Same-day or short-stay discharge

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Genel Cerrahi Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.