Inguinal hernia repair: Total Extraperitoneal approach (TEP)
Epublication WebSurg.com, Feb 2007;07(02). URL: http://websurg.com/doi/vd01en2051
This is live video recorded during a surgical course demonstrating the total extra-peritoneal (TEP) approach to repair of a right indirect inguinal hernia. Access to the pubis is gained on the midline. After taking down the adhesions, the authors visualize the pelvic bone. Moving laterally, they see the bladder and hernia, then the spermatic cord comes into view. The indirect hernia appears at 1 o’clock, the epigastric vessels serving as the landmark. The authors continue with reduction of the hernia sac.