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Totally Extraperitoneal (TEP) Repair (with Video)

  • David J. Berler
  • Brian P. Jacob
Chapter

Abstract

The minimally invasive approach to inguinal hernia repair originated with Ger and colleagues in the 1980s. Total extraperitoneal repair (TEP) depends upon the establishment of and dissection within the retrorectal space. This technique was first popularized by McKernon and Laws in 1993. The decision to proceed with TEP ultimately is multifactorial and must be individualized, with close attention to the complexity and size of the hernia, the patient’s comorbidities, and the patient’s surgical history. This chapter explores the indications and contraindications of TEP as well as the advantages and disadvantages of this approach, with a brief literature overview. We conclude with a description of the procedure, including relevant clinical pearls and common pitfalls.

Keywords

TEP Totally extraperitoneal Minimally invasive repair Laparoscopic repair 

Supplementary material

Video (MP4 1875482 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • David J. Berler
    • 1
  • Brian P. Jacob
    • 2
  1. 1.Resident in General SurgeryIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Icahn School of Medicine at Mount SinaiNew YorkUSA

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