Скачать или смотреть Total Extraperitoneal Repair Procedure for Inguinal Hernia Repair

The Total Extraperitoneal (TEP) repair procedure is a laparoscopic surgical technique for inguinal hernia repair. It involves:

1. Small incisions in the abdomen
2. Insertion of a laparoscope (camera) and instruments
3. Dissection of the extraperitoneal space (outside the peritoneal cavity)
4. Identification and reduction of the hernia sac
5. Placement of a mesh to reinforce the weakened area
6. Closure of the incisions

Key differences from TAPP:

1. Dissection occurs outside the peritoneal cavity
2. No entry into the abdominal cavity
3. Less risk of visceral injury
4. Potential for less post-operative pain

Steps:

1. Patient positioning and preparation
2. Creation of extraperitoneal space
3. Laparoscope and instrument insertion
4. Dissection of the extraperitoneal space
5. Hernia sac reduction and mesh placement
6. Mesh fixation and closure
7. Closure of incisions

Advantages:

1. Minimally invasive
2. Less post-operative pain
3. Faster recovery
4. Lower risk of complications
5. Reduced risk of visceral injury

TEP is considered a more challenging technique than TAPP, requiring specialized training and expertise. However, it offers benefits for patients, particularly those with bilateral hernias or previous abdominal surgery.

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