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Inguinal hernia repair: Total Extraperitoneal approach (TEP)

B Dallemagne, MD S Perretta, MD, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2007;07(02). URL: http://websurg.com/doi/vd01en2051

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  • 2007-02-12
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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.