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<p>Totally extraperitoneal hernioplasty (TEP) is a safe and effective laparoscopic method for treating inguinal hernias, particularly primary unilateral and bilateral hernias and recurrent hernias after open surgery. Herein, the author describes his technique, which is based on 30&#xa0;years of experience. The operation is performed in seven steps that are each described in detail. Totally extraperitoneal hernioplasty offers advantages such as a&#xa0;reduced risk of complications and nerve damage, a&#xa0;faster return to work, and a&#xa0;lower recurrence rate. However, the TEP technique requires a&#xa0;longer learning curve than transabdominal preperitoneal hernioplasty (TAPP) and should only be performed by experienced laparoscopic surgeons.</p>

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Totally extraperitoneal hernioplasty (TEP): how I do it

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月15日

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  • Thomas Schmid,
  • Viktoria Hofmann

摘要

Totally extraperitoneal hernioplasty (TEP) is a safe and effective laparoscopic method for treating inguinal hernias, particularly primary unilateral and bilateral hernias and recurrent hernias after open surgery. Herein, the author describes his technique, which is based on 30 years of experience. The operation is performed in seven steps that are each described in detail. Totally extraperitoneal hernioplasty offers advantages such as a reduced risk of complications and nerve damage, a faster return to work, and a lower recurrence rate. However, the TEP technique requires a longer learning curve than transabdominal preperitoneal hernioplasty (TAPP) and should only be performed by experienced laparoscopic surgeons.