Having Laparoscopic Groin Hernia Repair- TEP
Having Laparoscopic Groin Hernia Repair: TEP
A groin hernia is a bulge at a weak
spot in the wall of the abdomen. Groin hernias are also called inguinal or femoral
Tissue or organs may press into the weak spot. This may cause symptoms of discomfort
pain. If left untreated, a hernia can get worse and may lead to serious problems.
can be done to repair a hernia.
What is laparoscopy?
Your hernia operation will be done with a technique called laparoscopy. For this,
a thin, lighted tube called a laparoscope is used. The scope allows the surgeon to
work through a few small incisions. This is instead of the one larger incision that
is made for open surgery. Recovery from laparoscopy is often faster and less painful
than from open surgery.
What is TEP?
TEP is one way to do a hernia
repair. It stands for totally extraperitoneal. The peritoneum is a membrane that covers
the organs in the abdomen. During TEP, the peritoneum is not opened. Instead, the
is repaired from outside the peritoneum.
Preparing for your surgery
Schedule tests as you have been told. These make sure your heart and lungs are healthy
Tell your healthcare provider
about all medicines you take including aspirin, NSAIDs such as ibuprofen, or other
blood-thinning medicines such as warfarin. Also tell him or her about any herbs
and other supplements you take. You may need to stop taking some or all of them
Ask your healthcare provider
for help in quitting smoking. This will help stop the hernia from being strained
by smoker’s cough. It will also promote good blood flow for healing. Smoking can
also make you more likely to have breathing issues during anesthesia.
Don't life anything heavy. It
can strain your hernia and make it worse.
Follow any directions you are given for taking medicines and for not eating or drinking
Plan to have an adult family member or friend drive you home from the surgery. Arrange
for help with chores and errands while you recover.
During the procedure
The surgery takes
1 to 2 hours. You
can likely go home the same day. Before the surgery starts, an IV (intravenous) line
put into a vein in your arm or hand. This line supplies fluids and medicine.
To keep you free of pain
during the surgery, you’ll be given anesthesia. This may be general anesthesia.
This medicine puts you in a state like deep sleep through the procedure. Or, you
may be given regional anesthesia. This numbs the abdomen and makes you relaxed and
drowsy through the surgery.
The surgeon makes 3 to 4
small incisions in the abdomen. The scope is put through one of the incisions. The
scope sends live pictures to a video screen. This lets the surgeon see inside the
abdomen. Surgical tools are placed through the other small incisions.
Your abdomen is inflated with
carbon dioxide. This gas provides space for the surgeon to see and work to repair
- Using the surgical tools, the surgeon exposes and repairs the
After the repair, a patch of
strong mesh is put over the weak spot in your abdominal wall. The patch acts like
a patch on a tire. It stays in place permanently.
The gas is released from your
abdomen. This causes the space that was created to close up covering the mesh.
Your incisions are then closed with sutures.
Risks and possible
complications of groin hernia repair
Numbness or pain in the groin or leg
Urinary retention (inability to urinate)
Bowel or bladder injury
Hernia comes back or new hernia forms
Injury to the testes
Problems from mesh
Risks of anesthesia
Online Medical Reviewer: Jen Lehrer MD
Online Medical Reviewer: Kenny Turley PA-C
Online Medical Reviewer: L Renee Watson MSN RN
Date Last Reviewed:
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