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Endoscopic Total Extraperitoneal Hernia Repair

WHAT YOU SHOULD KNOW:

  • A hernia may occur when the muscle layers in your abdomen weaken. The weakened muscle layers allow your tissues or organs to push through. When this happens, a bulge or mass may be seen or felt under your skin. Hernias often occur in your inguinal (groin) area. A hernia may also occur near your genital area, or upper thigh. Hernias may also form in the front of your abdomen, or in areas of past surgical incisions.
    Common Places for Hernias


  • You may need surgery to repair the abnormal opening in your muscles. Your caregiver may do an endoscopic total extraperitoneal (TEP) hernia repair. Many forms of hernia repair are done through your peritoneal cavity (the space in your abdomen containing the organs). An endoscopic TEP hernia repair is done without entering your peritoneal cavity. Small incisions are made to reach your hernia area. A scope and special tools are placed through your incisions to fix your hernia. A scope is a bendable tube with light and camera on the end. A synthetic (man-made) mesh will be put through the scope to cover your weak muscle layers. Endoscopic TEP hernia repair may strengthen your abdominal muscles, remove your hernia bulge, and decrease your pain.

INSTRUCTIONS:

Medicines:

  • Keep a written list of the medicines you take, the amounts, and when and why you take them. Bring the list of your medicines or the pill bottles when you see your caregivers. Learn why you take each medicine. Ask your caregiver for information about your medicine. Do not use any medicines, over-the-counter drugs, vitamins, herbs, or food supplements without first talking to caregivers.

  • Always take your medicine as directed by caregivers. Call your caregiver if you think your medicines are not helping or if you feel you are having side effects. Do not quit taking your medicines until you discuss it with your caregiver. If you are taking medicine that makes you drowsy, do not drive or use heavy equipment.

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

Follow-up visit information:

Ask your caregiver when you need to return to have your surgery site checked. Make sure to keep all of your planned visits with your caregiver. Write down any questions you may have. This way you will remember to ask these questions during your next visit.

Activity:

You may need to decrease any heaving lifting until your surgery site heals. Talk to your caregiver about how long you should wait before returning to your normal activities.

Bowel movements:

Exercise such as walking can help you have regular bowel movements. Eating high-fiber foods such as fruit and bran and drinking prune juice and water may also help. Caregivers may give you fiber medicine or a stool softener to help make your BM's softer and more regular.

Wound care:

You may have a bandage over your surgery site when you leave the hospital. Do not take the bandage off until your caregiver says it is OK. Ask your caregiver for more information about caring for your surgery site at home.

CONTACT A CAREGIVER IF:

  • You have a fever or chills.

  • Your have blood clots or fluid around your surgical site.

  • Your surgery site is swollen, red, or has pus coming from it.

  • You have questions or concerns about your medicine or care.

SEEK CARE IMMEDIATELY IF:

  • You have pain in your groin or surgery site that does not get better after taking pain medicine.

  • You suddenly have numbness in your groin area.

  • You have trouble urinating.

  • You notice a new lump at your surgery site.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of the Blausen Databases or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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