TEP - Indirect / Direct hernia
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TEP - Indirect / Direct hernia

ThisĀ TEP – Indirect / Direct Hernia course will teach you:

  • Laparoscopic treatment of the hernia sac
  • Tension free reinforcement of the posterior wall of the inguinal canal

Special attention is paid to the following hazards you may encounter during thisĀ TEP – Indirect / Direct Hernia procedure:

  • Bladder and epigastric vessels injury
  • Corona mortis injury
  • Injury during space of Bogros dissection
  • Lateral femoral cutaneous nerve damage
  • Dissection in Triangle of Pain
  • Dissection in Triangle of Doom

With the following tips you might perform this TEP – Indirect / Direct Hernia procedure even better:

  • Pre- peritoneal dissection
  • Peritoneal dissection
  • Mesh pre-cutting
  • Mesh fixation

After studying this TEP – Indirect / Direct Hernia course you are familiar with the most common complications:

  • Recurrence
  • Seroma and surgical site infection
  • Chronic postoperative inguinal pain

You might also be interested in:

TAPP – Bilateral Direct Hernia

Step by step

Pre-peritoneal approach

Skin

Mark

Mark the location of the trocars on the skin. The exact locations depend on the surgeon’s preference.

Incise

Incise the skin sub- or para-umbilical.

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