Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair

What is the purpose of the dissecting balloon in TEP hernia repair?

• To retract the spermatic cord

• To create a working space in the preperitoneal area

• To insufflate the peritoneal cavity

• To close the hernia sac

The fiberoptic light source should be turned on before connecting it to the laparoscope.

• True

• False

Which structure must be carefully identified and preserved to avoid nerve injury during dissection?

• Inferior epigastric artery

• Iliopubic tract

• Genitofemoral and lateral femoral cutaneous nerves

• Cooper’s ligament

What type of mesh placement is used in TEP repair?

• Intraperitoneal onlay mesh

• Preperitoneal mesh covering direct, indirect, and femoral spaces

• Onlay mesh over the external oblique

• Plug-and-patch mesh

What is the wound classification for a standard TEP laparoscopic inguinal hernia repair without complications?

• Class I: Clean

• Class II: Clean-contaminated

• Class III: Contaminated

• Class IV: Dirty-infected