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Laparoscopic inguinal hernia repair: TEP approach without fixation of the mesh

B Dallemagne, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jun 2011;11(06). URL: http://websurg.com/doi/vd01en3329

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  • 2011-06-15
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The most common laparoscopic techniques for inguinal hernia repair are transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. In TAPP, the surgeon goes into the peritoneal cavity and places a mesh through a peritoneal incision over potential hernia sites. TEP is different in that the peritoneal cavity is not entered and the mesh is used to seal the hernia from outside the peritoneum. This approach is considered to be more difficult than TAPP but may have fewer complications. This video demonstrates a laparoscopic TEP inguinal hernia repair without fixation of the mesh.