Surgical anatomy a thorough knowledge of the extraperitoneal inguinal anatomy is required to avoid complications. Laparoscopic inguinal hernia repair.
Total Extraperitoneal Tep Tep Offers Several Advantages Over
The most commonly used laparoscopic techniques or inguinal hernia repair are transabdominal preperitoneal tapp repair and totally extraperitoneal tep repair.
Tep inguinal hernia repair steps. Tapp requires access to the peritoneal cavity with placement of a mesh through a peritoneal incision. Instruments in tep technique. The choice of approach to the laparoscopic repair of inguinal hernia is controversial.
This video is a step by step approach to the technique of total extra peritoneal repair tep of a left inguinal hernia. Additionally and in order to create more preperitoneal space we will use a pdb balloon trocar and subsequently a 12 mm btt structural trocar. The technique consists of 10 consecutive steps of which steps 1 2 4 8 and 10 are more basic and steps 3 5 6 7 and 9 more advanced.
The mesh and the fixation method used will be dealt with in other chapters. This video describes our technique for a totally extraperitoneal endoscopic inguinal hernia repair or tep procedure in a male patient with a right inguinal hernia. This video shows how inguinal hernias form and how they are treated.
An inguinal hernia is a bulging of the intestine through a defect or weak spot in the wall of the lower abdomen. Laparoscopic totally extraperitoneal tep inguinal hernia repair is an effective minimally invasive method for treating hernias that avoids entry into the abdomen. The totally extraperitoneal repair tep is a keyhole technique for inguinal hernia repair.
The principle advantages of this technique over open surgery are. The most important first step for successful completion of total extraperitoneal tep hernia repair is correct entry into the preperitoneal space. Laparoscopic inguinal hernia repair tep what is an inguinal hernia.
Its indications have developed and broadened over time to encompass almost the whole spectrum of groin hernias. With this technique hernias are repaired using a piece of mesh which is placed behind the muscle of the abdominal wall. In some cases short clips of other patients are inserted as intermezzo for better understanding.
An inguinal hernia occurs at the inguinal canal a thin passage where blood vessels pass through the abdominal wall. It offers a teaching guide especially to surgical trainees explaining the. Since laparoscopic inguinal hernia repair was first reported by ger and colleagues in 1990 the operation has been refined into an attractive alternative to open hernia repair for many patients and surgeons although few would argue that laparoscopic inguinal hernia repair can be performed with excellent results controversy abounds because the results of open mesh repairs are.
Chapter 15 total extraperitoneal tep hernia repair patricia sylla david w. A detailed description of the procedure is presented focusing on seven key steps. A hernia can pose risks as the structures within your abdomen including your intestines can become trapped.
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