In the TEP (Totally Extraperitoneal) laparoscopic hernia repair, peritoneal entry would require conversion to which procedure?

• A Lichtenstein open repair
• B Plug-and-patch repair
• C TAPP (Transabdominal Preperitoneal) repair ✓
• D Shouldice repair

Explanation

TEP repair is performed entirely in the preperitoneal space without entering the peritoneal cavity. If peritoneal entry occurs during dissection, the gas escapes into the peritoneum and the working space collapses, making continuation of the TEP approach impossible. In this situation, the procedure can be converted to TAPP (transabdominal preperitoneal) repair, which deliberately works through the peritoneal cavity to place preperitoneal mesh. Open conversion is less commonly required.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.