Tep Inguinal Hernia Anatomy
Laparoscopic total extraperitoneal inguinal hernia repair under spinal anesthesia.
Tep inguinal hernia anatomy. A detailed description of the procedure is presented focusing on seven key steps. The most important first step for successful completion of total extraperitoneal tep hernia repair is correct entry into the preperitoneal space. In the following explanation the surgical anatomy is referred to in the viewpoint of a surgeon carrying out a tapp trans abdominal pre peritoneal groin hernia repair. The most important first step for successful completion of total extraperitoneal tep hernia repair is correct entry into the preperitoneal space.
Laparoscopic total extraperitoneal tep inguinal hernia repair under epidural anesthesia. The important anatomy essentials for laparoscopic inguinal hernia repair will be discussed in this. Chapter 15 total extraperitoneal tep hernia repair patricia sylla david w. Sinha r gurwara ak gupta sc.
Laparoscopic procedures are especially suitable for recurrent and bilateral inguinal hernia 1 2 the major procedures include intraperitoneal onlay mesh ipom repair transabdominal preperitoneal tapp repair and total extraperitoneal tep repair. A thorough knowledge of the extraperitoneal inguinal anatomy is required to avoid complications. Surgical anatomy a thorough knowledge of the extraperitoneal inguinal anatomy is required to avoid complications. This video shows how inguinal hernias form and how they are treated.
The aim of this study is to assess and describe a technique using only two trocars for tep inguinal hernia repair. Laparoscopic totally extraperitoneal tep inguinal hernia repair is an effective minimally invasive method for treating hernias that avoids entry into the abdomen. The mesh and the fixation method used will be dealt with in other chapters. Instruments in tep technique.
The anatomy of these procedures is totally different from traditional open procedures because they are performed from different direction and in different space. Additionally and in order to create more preperitoneal space we will use a pdb balloon trocar and subsequently a 12 mm btt structural trocar. Laparoscopic inguinal hernia repair is performed more and more nowadays because of its mini invasive nature and demonstrated good results. Its indications have developed and broadened over time to encompass almost the whole spectrum of groin hernias.
A study of 480 patients. Laparoscopic inguinal hernia repair is performed more and more nowadays. Laparoscopic inguinal hernia repair.