Laparoscopic Totally Extra Peritoneal Inguinal Hernia Repair with Endoscope Preperitoneal Dissection and No Mesh Fixation - How I Do It

Abstract

Background: Laparoscopic or robotic TEP hernia repair represents a minimally invasive surgical technique used in treatment of inguinal or femoral hernia in male or female patients. Surgical technique: We describe the operative steps of the TEP hernia repair technique with the particularities of endoscope dissection of the extra-peritoneal space and no-fixation of the mesh after placement. Discussions: The description of the trocar’s positioning and the particularities of the technique are important, especially for young surgeons and are utterly for orientation but depends on the intraoperative findings. The correct space dissection, mesh placement and non-fixation of the mesh can reduce the risk of hernia recurrence and chronic postoperative chronic pain. Conclusion: Due to the regular anatomy, TEP hernia repair operative technique can be standardized. The thorough comprehension of the anatomical landmarks and the surgical steps are important for the good outcome of the surgery.