Having Laparoscopic Hernia Repair: TEP
A hernia is a bulge at a weak spot in the wall of the abdomen. Tissue or
organs may press into the weak spot. This may cause symptoms of discomfort
or pain. If left untreated, a hernia can get worse and may lead to serious
problems. Surgery can be done to repair a hernia.
What Is Laparoscopy?
Your repair surgery will be done with a technique called laparoscopy. For
this, a thin, lighted tube called a laparoscope is used. The scope allows
the doctor to work through a few small incisions. This is instead of the
one larger incision that is made for open surgery. Recovery from laparoscopy
is often faster and less painful than from open surgery.
What Is TEP?
TEP is one way to do a hernia repair. It stands for "totally extraperitoneal."
The peritoneum is a membrane that covers the organs in the abdomen. During
TEP, the peritoneum is not opened. Instead, the hernia is repaired from
outside the peritoneum.
Preparing for Your Surgery
Schedule tests as you have been told. These make sure your heart and lungs
are healthy for surgery.
Tell your doctor about all medications you take. This includes herbs and
other supplements. You may need to stop taking some or all of them before surgery.
You will need to stop eating and drinking for a set amount of time before
the surgery. Follow all instructions you are given.
Ask your doctor for help in quitting smoking. This will help stop the hernia
from being strained by smoker's cough. It will also promote good blood
flow for healing.
Avoid heavy lifting. It can strain your hernia and make it worse.
Do not eat or drink for
8 hours before surgery. Your surgery may be canceled if you eat or drink.
If you have been told to take medication, take it with small sips of water.
Plan to have an adult family member or friend drive you home from the surgery.
Arrange for help with chores and errands while you recover.
During the Procedure
The surgery takes
1-2 hours. You can likely go home the same day. Before the surgery begins,
an IV line is put into a vein in your arm or hand. This line supplies
fluids and medications.
To keep you free of pain during the surgery, you'll be given anesthesia.
This may be general anesthesia. This medication puts you in a state like
deep sleep through the procedure. Or, you may be given regional anesthesia.
This numbs the abdomen and makes you relaxed and drowsy through the surgery.
The doctor makes 2 to 4 small incisions in the abdomen. The scope is put
through one of the incisions. The scope sends live pictures to a video
screen. This allows the doctor see inside the abdomen. Surgical tools
are placed through the other small incisions.
Your abdomen is inflated with carbon dioxide. This gas provides space for
the doctor to see and work to repair the hernia.
After the repair, a patch of strong mesh is put over the weak spot in your
abdominal wall. The patch acts like a patch on a tire. It stays in place
The gas is released from your abdomen. Your incisions are then closed with sutures.
Risks and Possible Complications of Hernia Repair
Numbness or pain in the groin or leg
Urinary retention (inability to urinate)
Bowel or bladder injury
Hernia comes back or new hernia forms
Atrophy of testes
Risks of anesthesia