Laparoscopic inguinal hernia repair (TEP/TAPP)
Laparoscopic (keyhole) hernia repair uses small incisions (commonly 5–10 mm) to place mesh behind the hernia defect. This often reduces wound issues and supports faster recovery in appropriately selected patients.
TEP vs TAPP
TEP (Totally Extraperitoneal) repairs the hernia without entering the abdominal cavity.
TAPP (Transabdominal Preperitoneal) enters the abdominal cavity then places mesh in the preperitoneal plane (behind the muscle).
They are essentially the same operation done slighly differently. Both aim to reinforce the groin from behind the defect. The best approach depends on anatomy, prior surgery and surgeon preference.
Benefits and risks
- Smaller incisions and often less early wound pain
- Lower risk of superficial wound infection
- Excellent outcomes in suitable patients
- Risks include bleeding, infection, recurrence and chronic pain (uncommon)
If you have severe constant pain, vomiting, redness, or an irreducible lump, seek urgent medical assessment.
When laparoscopic repair may not be suitable
- Extensive prior abdominal surgery or scarring
- Complex anatomy or very large groin hernia
- Some recurrent scenarios (depends on prior approach)
In selected cases, a minimally invasive approach may still be possible using robotic-assisted surgery.