Endoscopic Total Extraperitoneal Hernia Repair

WHAT YOU SHOULD KNOW:

An endoscopic total extraperitoneal (TEP) hernia repair is surgery to repair an inguinal hernia.


CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • You may have bruising, fluid buildup, swelling, or infection at your surgery site. A deep infection may also occur from the mesh patch used during surgery. You may have trouble emptying your bladder after surgery. You may have shoulder and chest pain from the gas used during your surgery. In some cases, an endoscopic TEP hernia repair may need to be changed into an open hernia repair surgery. An open surgery means that larger and deeper incisions will be made. These incisions will take longer to heal.

  • Your nerves, blood vessels, or abdominal organs may be injured during surgery. You may also have chronic pain or numbness in your groin area for months or years after your surgery. You may need to have another surgery if your condition returns or occurs in a different area. Without this surgery, your pain or discomfort may increase. Your soft tissues or bowels may become trapped in your abnormal opening. When tissues and organs are trapped, the tissue may die. This may become life-threatening.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Anesthesia is medicine to make you comfortable during the surgery. Caregivers will work with you to decide which anesthesia is best for you.

    • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Local anesthesia is a shot of medicine put into the area where the surgery will be done. It is used to numb the area and dull the pain. You may still feel pressure or pushing during surgery.

During your surgery:

  • Your surgeon will make a small incision under your belly button. Your abdominal muscles will be secured to the sides of this incision. Your caregiver will make a tunnel under your skin and muscle to reach the area of your hernia. A device with a balloon may be put into your incision. The balloon will be inflated to create a space outside your peritoneum (the lining of your peritoneal cavity).

  • The balloon is then removed and the space may be filled with carbon dioxide gas. The gas will help your surgeon see the area in need of repair. One to 2 more small incisions may be made. A scope and other devices will be put through the incisions. Mesh is inserted to cover your weak muscles, and to push your tissues and organs back into place. The mesh is secured in place and the tools are then removed. Your incisions will be closed with stitches. A bandage will cover your incisions to keep them clean and dry. A bandage will also help prevent infection.

After your surgery:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room.

  • You may need to walk around the same day of surgery, or the day after. Movement will help prevent blood clots. You may also be given exercises to do in bed. Do not get out of bed on your own until your caregiver says you can. Talk to caregivers before you get up the first time. They may need to help you stand up safely. When you are able to get up on your own, sit or lie down right away if you feel weak or dizzy. Then press the call light button to let caregivers know you need help.

  • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

© 2014 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 A.D.A.M., Inc. 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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