Laparoscopic Inguinal Hernia Repair Total Extraperitoneal TEP

In this condition it will obtain a very siginificante reduction of postoperative pain and return to a normal life, allowing work and sports within a period half of the required after open surgery. Although there is fairly unanimous agreement in the use of minimally invasive surgery in all the mentioned diseases, is not completely accepte in surgery for inguinal hernia, which is reserved by some for reccurent or bilateral hernia. Since early 2003, Dr. Grimalt accepted it as the technique of choice in all types of inguinal hernias, except in very large hernias such as inguinoscrotal or not reducible, with highly satisfactory results. The technique used is the TEP laparoscopic (totally extraperitoneal). Another option is the TAP laparoscopic (transabdominal properitoenal), although the lattest requires approaching the inguinal region after opening the peritoneum and suturing after placing the mesh, which implies the possibility of adhesions, as well as in the ports sites. The risk of adhesions does not exist in the TEP technique, although the learning curve might be longer.