TEP

Full Definition

Totally extraperitoneal (TEP) repair is a laparoscopic inguinal hernia repair technique that is performed entirely within the pre-peritoneal space without entering the peritoneal cavity. The surgeon creates a working space between the posterior rectus sheath and the peritoneum, places mesh over the myopectineal orifice, and secures it appropriately. This approach eliminates the risk of intra-abdominal adhesions and bowel injury associated with trans-abdominal techniques.

Usage

Usage note: Always capitalize when used as an acronym.

In Context

• "The surgeon performed a TEP repair for the recurrent inguinal hernia to avoid previous intra-abdominal adhesions." — Operative report
• "TEP repair eliminates the need for peritoneal closure compared to TAPP technique." — Surgical comparison study