Inguinal hernias can currently be repaired laparoscopically using five different methods: reduction of the sac with or without closure of the ring, transabdominal preperitoneal (TAPP), transabdominal totally extraperitoneal (eTEP), intra-peritoneal onlay mesh (IPOM), and totally extraperitoneal (TEP) repair. According to our view, surgeons who are interested in a laparoscopic approach should be proficient in all procedures in order to meet the demands of all patients and be able to switch to a different technique as needed.
The eTEP procedure is a tool that hernia surgeons can use. In comparison to the traditional TEP procedure, this technique will be simpler for residents and surgeons with less expertise to learn. It can extend the extraperitoneal approach's standard indications to individuals with challenging body habits, a close umbilicus-pubis distance, and histories of pelvic surgery. The indications for the conventional TEP procedure can be broadened to more difficult instances as the surgeon's skill grows.
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