For an appointment with NUH Hernia Centre, visit
https://www.nuh.com.sg/patients-visitors/Appointments/Pages/default.aspx

Watch this 3D animation video to learn what happens during the Laparoscopic Total Extraperitoneal (TEP) Inguinal Hernia Repair surgery.

Hernias – bulges over the abdominal wall caused by weaknesses or defects of the muscles – are increasingly prevalent in our ageing population. It can be painful and can deteriorate to become a dangerous condition with intestinal damage if not treated appropriately.

The laparoscopic total extraperitoneal (TEP) inguinal hernia repair surgery results in less post-operative pain and faster recovery.

Steps in the Laparoscopic Total Extraperitoneal (TEP) Inguinal Hernia Repair surgery:
- A small keyhole incision will be created for the device to reach a hernia and the retractor will be put in place to keep the incision open.

- The surgeon will insert the trocar, which comes with a dissecting balloon, to access the abdominal area.

- An endoscope will be inserted to allow the surgeon to monitor the dissection of the space as the balloon inflates.

- Once the space is sufficiently dissected, the balloon will be deflated and withdrawn.

- The trocar balloon will be pumped using a syringe and access cannula will be held in place.

- A camera called the laparoscope will be inserted through the cannula.

- Once the working space is created, the surgeons will insert two more access instruments through the other two incisions to allow for better access and visualisation of the abdomen area

- There are three main types: direct, indirect and femoral hernias, depending on where the hernia is located at.

- The surgeon will then use surgical instruments to pull the sac back into the abdomen.

- To prevent any sac from slipping through the opening again, the surgeon will place a mesh over it and use a fixation device to tack the mesh in place.

- The access equipment will be removed from the body and the surgeon will close up the incisions by using sutures.

To learn more about hernias, visit:
https://www.nuh.com.sg/our-services/Specialties/Surgery/Pages/Hernia-centre.aspx

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About National University Hospital (NUH) (Singapore):
NUH is Singapore's major tertiary hospital and referral centre with over 50 medical, surgical and dental specialties. It is the only public hospital in Singapore to offer a comprehensive suite of specialist care for adults, women and children as well as paediatric kidney and liver transplant programme, in addition to kidney, liver and pancreas transplantations for adults.