Hernia Repair TEP

Hernia Repair TEP at Rivers Hospital

Laparoscopic Inguinal Hernia Repair (TEP) is the latest in keyhole surgery to repair an inguinal hernia. Totally extraperitoneal (TEP) surgery repairs your hernia without entering the perineal cavity.

At Ramsay Health Care UK, our General Surgeons are appropriately trained and regularly perform laparoscopic inguinal hernia repair procedures. You can confidently choose Ramsay with surgeons who have a high level of experience and skill for your laparoscopic hernia repair. They will take time to discuss your surgery options, the risks and benefits for each, and their treatment and surgical recommendation.

We offer convenient consultation and surgery appointments to get your hernia treatment quickly underway so that you can get back to your daily life without hernia pain.

You can also rest-assured that all of our Ramsay hospitals maintain strict protocols to keep you safe from infection, including Covid 19, whilst visiting us.

What is a TEP Hernia Repair?

A TEP hernia repair is laparoscopic or keyhole surgery that fixes your inguinal hernia from the outside of your peritoneum (the sac that contains all of your abdominal organs) as opposed to inserting instruments through it and performing the repair from inside.

There are two laparoscopic techniques for repairing a hernia in your groin:

  • Laparoscopic Inguinal Hernia Repair TAPP repairs your inguinal hernia by entering your peritoneum cavity through the thin lining covering your abdominal organs called the peritoneum. Inside the peritoneum cavity a mesh is placed at the weakened area of your abdomen wall to strengthen it.
  • Laparoscopic Inguinal Hernia Repair (TEP) repairs your inguinal hernia without entering your peritoneum cavity. Instead, the mesh seals your hernia from the outside of your peritoneum.

What is the best method for hernia surgery?

According to The National Institute for Health and Care Excellence (NICE), both laparoscopic and open surgery for hernias are safe and work well. They recommend that patients are fully informed of the risks and benefits of open and laparoscopic surgery (either by TAPP or TEP).

Key decision factors include:

  • the patient’s suitability for general anaesthesia
  • whether the hernia is a primary repair, recurrent hernia or bilateral hernia.
  • the hernia type’s suitability for a laparoscopic or an open approach
  • the surgeon’s experience in the three techniques.

Laparoscopic hernia repair offers potential benefits including reduced postoperative pain, earlier return to normal activities and a reduction in long-term pain and numbness. However, the risks of serious complications associated with laparoscopic surgery are higher.

Laparoscopic hernia repair surgery is the preferred technique for:

  • recurrent hernias - as scar tissue from previous open repairs may be avoided
  • bilateral (double) hernias – as both hernias can be repaired in the same operation.
  • There is not a preferred type of laparoscopic surgery. TEP repair is considered to be technically more difficult than the TAPP technique, but it may have fewer complications such as a reduced risk of damage to intra-abdominal organs. Your surgeon’s experience is particularly important for laparoscopic surgery.

How is laparoscopic inguinal hernia surgery done?

Laparoscopic surgery is done using keyhole surgery. This means that your inguinal hernia repair is performed through small cuts to your abdomen near your hernia rather than a large opening to your abdominal wall. It is performed under general anaesthetic and typically takes 30 to 45 minutes.

A thin tube with a light source and a camera at one end, known as a laparoscope, and tiny operating instruments are inserted through the cuts and your surgeon repairs your hernia. They push your inguinal hernia back into place and strengthen the weakened abdominal wall using a synthetic mesh with the aim of preventing recurrence. The cuts in your skin are then sealed with stitches or surgical glue.

With a TEP repair, your surgeon repairs your inguinal hernia without entering your peritoneum cavity. The mesh to seal your hernia is placed from the outside of your peritoneum.

What is the recovery process after a laparoscopic hernia repair procedure (TEP)?

You can expect to go home the same day as a straightforward laparoscopic inguinal hernia repair (TEP) procedure. If you have other health conditions or complications, you may need an overnight stay in hospital.

You will need an adult to stay with you for at least 24 hours after your surgery whilst you recover from the general anaesthetic.

Eat a high fibre diet so that you do not strain when having a bowel movement.

Slowly increase your activity. You can return comfortably to normal activity within a week or two. You may then return to driving, providing you are able to control the car. You can also go back to work unless your job involves heavy lifting.

You should not lift heavy items for four to six weeks.

What is the cost of a laparoscopic inguinal hernia repair procedure?

The cost of a laparoscopic inguinal hernia repair procedure will depend on the exact type of laparoscopic hernia repair surgery you require and your Ramsay hospital of choice.

You will receive a formal quotation price following your consultation with one of our expert surgeons. This formal quote for your laparoscopic inguinal hernia repair (TEP) will be valid for 60 days and includes unlimited aftercare.

Ramsay is recognised by all major medical insurers. Laparoscopic inguinal hernia repair (TEP) is covered by most medical insurance policies. We advise you to obtain written authorisation from your insurance provider before starting your treatment.

We have a number of finance options if you are paying for your laparoscopic inguinal hernia repair yourself. These include:

  • Interest-free finance – 0% interest, no deposit and affordable monthly instalments.
  • All-inclusive Total Care – a one-off pre-agreed payment for access to all the treatment you need for complete reassurance.
  • Pay as you go – flexible funding to pay for treatment as and when costs arise. Often used if your treatment costs are difficult to assess.

We also offer the following Hernia treatments

Rivers Hospital Specialists

You're in control

Flexible payment options

to suit you

payment-plan-icon

0% Payment Plans

Spread the cost of your treatment with fixed, monthly payments over a time period to suit you.

Find out more
self-funding-icon

Self-funding Patients

We offer an alternative range of ways to pay, so you can choose which one best suits you and your finances.

Find out more
medical-insurance

Private Medical Insurance

Use your private medical insurance to fund your treatment through our simple referral process.

Find out more

Related Treatments

Sphincterotomy

Operation to treat anal fissures. An anal fissure is a tear in the lining of the skin lining your anus, inside your back passage.

Find out more

Nephrostomy

A nephrostomy is a procedure to drain urine from your kidney using a catheter. The procedure is performed by a radiologist (doctor who specialises in x-rays and scans).

Find out more

Pilonidal Sinus

A pilonidal sinus, also known as a pilonidal cyst, pilonidal abscess and pilonidal disease, is a pimple-like sac filled with hair and skin debris that forms in the crease between your buttocks, near your tailbone.

Find out more

Latest from Rivers Hospital

Hertfordshire MP Julie Marson visits Rivers Hospital

Hertfordshire MP Julie Marson visits Rivers Hospital

Julie Marson MP, Member of Parliament for Hertford and Stortford and the former Employment Minister, recently visited Rivers Hospital in Hertfordshire to meet local doctors, nurses and staff to see how the hospital is providing high quality healthcare for local people.

Find out more
Rivers Hospital starts again with their Look Good Feel Better Workshops for 2024

Rivers Hospital starts again with their Look Good Feel Better Workshops for 2024

Six years ago Rivers Hospital launched their first Look Good Feel Better workshop. Ladies currently undergoing and also recently finished their cancer treatment join together for a morning of make-up tips, laughter and building new friendships.

Find out more
Rivers Hospital starts again with their Look Good Feel Better Workshops for 2022

Rivers Hospital starts again with their Look Good Feel Better Workshops for 2022

Four years ago Rivers Hospital launched their first Look Good Feel Better workshop. Ladies currently undergoing and also recently finished their cancer treatment join together for a morning of make-up tips, laughter and building new friendships.

Find out more
View More
Paying for yourself?

Get in touch

Need some advice on a treatment price or booking an initial appointment?

We're here to help.

Or send us a message...

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.