Total extraperitoneal endoscopic hernioplasty (TEP).
One can no longer think about modern hernia surgery without mentioning endoscopic techniques. But due to their high technical demands the learning curve is comparatively long. And by technical mistakes and their consequences (pain, recurrence, complications) the benefits of the endoscopic techniques can easily be turned to drawbacks. The following text explains the steps of the total extraperitoneal endoscopic hernioplasty (TEP) technique in detail pointing out alternatives and risks. From preparation, indication and positioning, from trocar placement to extraperitoneal dissection and mesh placement, the principles of TEP are elucidated in respect of local anatomy and possible complications. The text as well as the accompanying video in the Mediathek are based on the authors' 20 years of experience in the TEP technique. Both of them may help in safe TEP application to minimise the complication rate as well as recurrences. Then patients can benefit from the advantages of this technique.
Allgemein- und Viszeralchirurgie, DRK Krankenhaus Clementinenhaus, Hannover, Deutschland.
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Kuthe
Allgemein- und Viszeralchirurgie, DRK Krankenhaus Clementinenhaus, Hannover, Deutschland.
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Mainik
Allgemein- und Viszeralchirurgie, DRK Krankenhaus Clementinenhaus, Hannover, Deutschland.
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Flade-Kuthe
D000328:Adult; D004210:Dissection / Q000379:methods; D004724:Endoscopy / Q000379:methods*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008067:Lipoma / Q000601:surgery; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010534:Peritoneal Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D013526:Surgical Mesh; D014741:Video Recording