TEP repair
Pronunciation: tep
Also written as: TEP — Totally Extraperitoneal
Totally Extraperitoneal laparoscopic hernia repair technique performed entirely outside the peritoneal cavity.
Full Definition
TEP (Totally Extraperitoneal) repair is a laparoscopic hernia repair technique where the entire procedure is performed in the extraperitoneal space without entering the peritoneal cavity. The surgeon creates a workspace between the posterior rectus sheath and the peritoneum, allowing placement of mesh over the hernia defect from behind. This technique is particularly advantageous for bilateral hernias and reduces the risk of bowel injury and adhesions compared to transabdominal approaches.
Usage
Usage note: TEP is typically written in capitals; 'repair' should follow when used as a complete procedure name.
In Context
- "TEP repair was selected for the bilateral inguinal hernias to avoid peritoneal entry." — Preoperative planning
- "The learning curve for TEP repair is steeper than for TAPP due to anatomical complexity." — Surgical education material