E TEP Repair of Inguinal Hernia

Ramesh Punjani, MBBS, MS

Product Details
Product ID: ACS-6137
Year Produced: 2020
Length: 9 min.


laparoscopic TEP repair of Inguinal hernia is a sort of ideal as it does not invade peritoneal cavity, gives un-parelleled view of Myo-pectineal Orifice (MPO). It also has low port-site hernia. However, it is difficult to learn, it has no flexibility in port position, it is claustrophobic & in case of accidental pneumo-peritoneum, it becomes more difficult. More or less it is not done for incarcerated hernia, Giant scrotal hernia & hernia with previous lower abdominal surgeries.Jorge Daes from Columbia, USA, has decribed E TEP, an extended view or enhanced view TEP. It gives port flexibility, it gives wider view, more space for dissection & more immunity to accidental pneumo-peritoneum & easier to learn. with experience, one can also do it in incarcerated hernia, with lower abdominal scars & post-bariatric procedures.we describe step by step E TEP Right inguinal for direct as well as indirect sacs.