TEP (Totally Extraperitoneal Repair)

Advanced Keyhole Surgery for Hernia Repair

Do you have a bulge or discomfort in your groin area that gets worse with standing, coughing, or lifting? You might be dealing with an inguinal hernia—a common condition where internal tissues push through a weak spot in your abdominal wall.
TEP (Totally Extraperitoneal Repair) is a modern, minimally invasive surgery that offers fast recovery, minimal pain, and strong long-term results.

What is TEP?

TEP stands for Totally Extraperitoneal Repair, a type of laparoscopic hernia surgery done without entering the abdominal cavity. Instead, surgeons repair the hernia from outside the peritoneum (the lining around the abdominal organs), placing a mesh over the weak spot to prevent recurrence.

This approach uses small incisions, specialized instruments, and a camera to provide high precision with very little trauma to surrounding tissues.

Why Choose TEP?

• ✅ Minimally Invasive: Only 2–3 small cuts; no large incisions

• ✅ Less Pain: Compared to open surgery

• ✅ Quick Recovery: Most patients return to work within a week

• ✅ Lower Risk of Complications: Especially in experienced hands

• ✅ No Entry into Abdominal Cavity: Safer for some high-risk patients

Who is it for?

TEP is suitable for patients with:

• Uncomplicated inguinal hernia (one-sided or both sides)

• Recurrent hernias after previous open repair

• A desire to return quickly to normal activities with minimal scarring

What to Expect After Surgery

• Procedure time: About 45 minutes to 1 hour

• Hospital stay: Usually same-day discharge or 1 night

• Recovery time: 5–7 days for routine activity, 2–3 weeks for heavy lifting

• Post-op care: Simple wound care, light walking, soft diet for 1–2 days