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The Art of Laparoscopic Total Extraperitoneal (TEP) Hernia Repair: A Practical Surgical Atlas
Paperback
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Publisher: Independently Published
Pages: 206
Weight: 1.48
Height: 0.54 Width: 8.50 Depth: 11.00
Language: English
The Art of Laparoscopic Total Extraperitoneal (TEP) Hernia Repair is a practical surgical guide developed from years of clinical experience in laparoscopic inguinal hernia surgery. Written by Sergio Gabriel Susmallian, MD, the book presents TEP repair not merely as a sequence of operative steps, but as an anatomical, technical, and strategic procedure that requires judgment, preparation, and constant attention to patient safety.
The book guides the reader from the historical evolution of inguinal hernia repair and the evaluation of patients with groin symptoms to the detailed laparoscopic anatomy of the preperitoneal space. It explains the spaces of Retzius and Bogros, the myopectineal orifice, the vas deferens, testicular vascular pedicle, iliac vessels, nerves, femoral canal, and other critical structures from the surgeon's operative perspective.
Detailed chapters describe patient selection, operating-room preparation, trocar placement, dissection, sac management, parietalization, mesh selection and deployment, controlled desufflation, and postoperative care. Particular attention is given to preventing and managing complications such as bleeding, seroma, hematoma, urinary retention, mesh infection, chronic pain, recurrence, and conversion.
The final chapter brings together fifty practical technical pearls intended to help surgeons recognize difficult anatomy, avoid preventable injuries, and perform safer, more reproducible repairs.
This book is intended for surgical residents, fellows, general surgeons, and experienced hernia surgeons seeking a practical, anatomy-based approach to mastering laparoscopic TEP repair.
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