Hernias cause discomfort and often need surgery to fix the problem permanently. Among the various surgical techniques, hernia-e-TEP is one of the latest minimally invasive technologies that has offered promising results. Knowing what this procedure is all about, its benefits, and what to expect during recovery can help patients make a decision.
A surgery performed for ventral and incisional hernias is called Extended Totally Extraperitoneal (hernia-e-TEP) hernia repair. This surgery requires a smaller incision, unlike open surgery, which is performed using a larger cut. Thus, it reduces body trauma. With hernia-e-TEP, the defect can be accessed without disrupting the surrounding tissues while also providing better vision. It causes less pain after surgery, a quicker recovery, and fewer chances of complications compared to traditional surgical methods.
hernia-e-TEP also does not require entry into the abdominal cavity, which reduces the chances of complications like bowel injury or adhesions. This approach is especially useful for people who have already undergone surgery in their belly, as it lowers the chances of running into unwanted scar tissue.
Most patients with ventral or incisional hernias are usually candidates for e-TEP, but not everyone will be suitable. Many patients who have earlier undergone abdominal surgeries, are living with obesity, or have a hernia recurrence will be best suited. Because it is minimally invasive, e-TEP is recommended for patients wishing to avoid a long hospital stay and recovery. However, if the hernia is too big or complicated, the surgeon may decide that a different approach will be better for the patient. The surgeon uses medical evaluation and imaging to assess whether the patient is a good candidate for e-TEP.
During hernia- e-TEP repair, the surgeon makes a few small incisions through which a laparoscope and specialized instruments are inserted. The laparoscope provides a clear view of the abdominal wall, allowing precise dissection and placement of a mesh to reinforce the weakened area.
The extraperitoneal space is carefully accessed and expanded, creating enough room to repair the hernia without disturbing the abdominal cavity. Once the mesh is securely placed, the small incisions are closed. Because this method minimizes trauma to the surrounding tissues, patients experience significantly less pain post-operatively and recover faster compared to traditional open surgery.
The recovery process following e-TEP hernia repair is typically smooth, with most patients returning home within a day or two. While individual recovery times may vary, patients are usually able to resume light activities within a few days. However, strenuous physical activities and heavy lifting should be avoided for a few weeks to ensure proper healing.
Pain management is an important part of post-operative care. Mild discomfort and swelling are normal and can be managed with prescribed pain relievers. Patients are encouraged to stay active by walking short distances to promote circulation and reduce the risk of blood clots.
Regular follow-up visits with the surgeon ensure that the recovery is progressing well and that there are no complications. Maintaining a healthy diet and lifestyle can also contribute to a smooth healing process.
As with any surgical procedure, e-TEP hernia repair carries some risks, although they are significantly lower compared to open surgery. Potential complications include infection, mesh-related issues, or recurrence of the hernia. However, choosing a skilled and experienced surgeon greatly reduces these risks.
To minimize complications, patients should strictly follow post-operative guidelines, including avoiding strenuous activities and maintaining a healthy weight. Adhering to dietary recommendations and staying hydrated also play a role in a successful recovery.
One of the main advantages of e-TEP hernia repair is its long-term effectiveness. The use of mesh reinforcement strengthens the abdominal wall, reducing the chances of hernia recurrence. Additionally, since this procedure minimizes scarring and internal adhesions, it is particularly beneficial for patients who may require future abdominal surgeries.
Another significant benefit is the improvement in quality of life. Many patients experience relief from chronic pain and discomfort after surgery, allowing them to return to their normal activities without limitations. The quicker recovery time also means less time away from work and daily responsibilities.
Choosing to undergo hernia- e-TEP repair is a personal decision that should be made after discussing all options with a qualified surgeon. Understanding the procedure, its benefits, and the recovery process helps patients feel more confident about their choice. Seeking care from an experienced surgical team ensures the best possible outcome and a smoother recovery journey.
Dr. Aparna Govil Bhasker, a leading expert in laparoscopic and bariatric surgery, specializes in e-TEP hernia repair at Meta Heal- Laparoscopy and Bariatric Surgery Center. With extensive experience in minimally invasive techniques, she provides patient-centric care that prioritizes safety and successful outcomes. To learn more, visit Meta Heal-Laparoscopy and Bariatric Surgery Center.
Dr. Aparna Govil Bhasker is a Laparoscopic & Bariatric Surgeon with experience of over 15 years. She is an alumnus of Mahatma Gandhi Institute of Medical Sciences, Sewagram. Incidentally, she was the first lady in more than 20 years to take up surgery as a specialization in her institute. Women in surgery constitute less than 5% of the total number of surgeons in India and have to face a lot of prejudices. However, she considers herself to be blessed to have been trained by the best teachers and most supportive colleagues… Read more