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TEP (Totally Extraperitoneal Inguinal Hernia Repair)

Laparoscopic preperitoneal mesh repair for inguinal hernia avoiding peritoneal entry.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

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 (Totally Extraperitoneal Inguinal Hernia Repair)?

Totally Extraperitoneal (TEP) repair is a minimally invasive laparoscopic inguinal hernia technique that places mesh in the preperitoneal space without entering the peritoneal cavity, theoretically reducing risks of bowel injury, adhesions, and visceral complications.

Through a sub-umbilical incision and balloon dissection, the surgeon develops the preperitoneal space, identifies and reduces the hernia sac, and places a polypropylene or composite mesh covering the myopectineal orifice (direct, indirect, and femoral defects).

Compared to TAPP (transabdominal preperitoneal), TEP avoids peritoneal entry but has a steeper learning curve. Both offer faster recovery and lower chronic pain compared to open Lichtenstein repair, particularly in bilateral or recurrent hernias.

Symptoms

Inguinal bulge or swelling
Discomfort with straining or lifting
Pain on coughing or activity
Reducible mass at groin
Bilateral hernias
Recurrent hernia after open repair
Athletic groin hernia

Risk Factors

Male sex (higher incidence)
Connective tissue disorders
Chronic cough or constipation
Heavy lifting occupation
Previous abdominal surgery
Family history of hernias
Smoking

When to See a Doctor?

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

  • Painful or enlarging inguinal bulge
  • Bilateral hernias
  • Recurrent hernia after open repair
  • Athletic patients seeking quick return
  • Younger patients prioritizing cosmesis
  • Suspicion of incarceration

Treatment Methods

01
Laparoscopic TEP mesh repair
02
Polypropylene or composite mesh
03
Bilateral repair through same incisions
04
Postoperative early ambulation
05
Outpatient or short-stay procedure
06
Wound and seroma monitoring
07
Activity restriction for 2-4 weeks

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.