Endoscopic Totally Extraperitoneal (TEP) Repair for Direct Inguinal Hernia (EHS, left PM3)

  • Pradeep Chowbey
  • Rajesh Khullar
  • Anil Sharma
  • Manish Baijal
  • Vandana Soni

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Endolaparoscopic inguinal hernia repair is the preferred modality of repair today. Most inguinal and pelvic hernias are suitable for repair with minimal access techniques. These include hernias encountered in a wide variety of clinical settings such as sliding hernias, irreducible hernias, obstructed hernias, femoral and obturator hernias. The teaching videos under this series of videos demonstrate the surgical approach and operative steps for hernia repair in diverse clinical scenarios.

This video on endoscopic totally extraperitoneal (TEP) repair for direct inguinal hernia (EHS, left PM3) demonstrates the feasibility, application and stepwise approach with emphasis on surgical anatomy to operate a large direct inguinal hernia (EHS, left PM3). It describes and demonstrates the essential surgical steps of the procedure. The video comprises several segments, each segment consisting of one step of the surgical procedure. The essential take home messages comprise the last segment.

This video serves as a valuable learning resource to surgeons interested in endolaparoscopic inguinal hernia repair.


The video demonstrates surgical approach & operative steps for endolaparoscopic direct inguinal hernia repair (EHS, left PM3) helpful for practicing surgeon.

About The Authors

Ayushman Endosurgery

Ayushman Endosurgery is the surgical consortium comprising of the five consultant surgeons contributing to these teaching videos. Ayushman Endosurgery provides professional surgical services and expertise and currently functions at Max Institute of Laparoscopic, Endoscopic & Bariatric Surgery, Saket, New Delhi, India. The Max Institute is recognized to be a global center of excellence in endosurgery. It is recognized as the center of excellence in ‘hernia surgery’ by Asia Pacific Hernia Society. It is also accredited as the center of excellence in ‘hernia surgery’ and ‘metabolic & bariatric surgery’ by the Surgical Review Corporation (SRC), USA. The center has also been certified with the center of excellence accreditation for metabolic and bariatric surgery by OSSI and founder center of excellence for metabolic and bariatric surgery by SRC, USA.

The team of consultants at the Max Institute of Laparoscopic, Endoscopic & Bariatric Surgery have been associated with the establishment and propagation of minimal access surgery (laparoscopic surgery) in India since 1991. Created and conceptualized 35 years ago under the leadership of Dr Pradeep Chowbey, the team includes four Directors - Dr Rajesh Khullar, Dr Anil Sharma, Dr Vandana Soni, Dr Manish Baijal, who have extensive clinical experience; together they are the longest serving surgical team in the world.

Together, the team at Max Saket holds a Limca Book of Record of performing more than 80,000 surgeries. This is reflected in consecutive Limca Book of Record editions from 2000 to 2019.


About this video

Pradeep Chowbey
Rajesh Khullar
Anil Sharma
Manish Baijal
Vandana Soni
Online ISBN
Total duration
13 min
Springer, Singapore
Copyright information
© Producer, under exclusive license to Springer Nature Singapore Pte Ltd. 2021

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Video Transcript

Endoscopic TEP repair is one of the preferred modalities of inguinal hernia repair today. This video demonstrates TEP repair for a large left-sided direct inguinal hernia, and explains the important steps of the surgical procedure.