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Laparoscopic Hernia Surgery (TEP / TAPP) in Antalya | Op. Dr. Gökhan Ateş
Quick answer
This page is patient information by Op. Dr. Gökhan Ateş for people in Antalya considering laparoscopic (closed) hernia surgery. Laparoscopic hernia repair is a minimally invasive technique using small incisions, a camera and specialised instruments. For inguinal hernias the two main approaches are TEP (totally extraperitoneal) and TAPP (transabdominal preperitoneal). The sections below summarise how it works, suitability, advantages, mesh use, recovery and risks. This content is for general patient information; diagnosis and treatment require an in-person medical evaluation.
Overview
What Is Laparoscopic Hernia Repair?
Laparoscopic hernia repair is performed through small incisions using a camera and specialised instruments. The hernia is approached and repaired from inside the abdomen, and a mesh is placed behind the muscle layer to reinforce the abdominal wall.
How It Is Performed (TEP and TAPP)
In TEP, the operation is performed without entering the abdominal cavity, working in the preperitoneal space. In TAPP, the abdominal cavity is entered first, the mesh is placed in the preperitoneal space and the peritoneum is closed. Both techniques are used for inguinal hernias and the choice depends on the situation.
When Is It Suitable?
- Bilateral inguinal hernias
- Recurrent inguinal hernia after a previous open repair
- Selected primary inguinal hernias when minimally invasive surgery is preferred
- Selected ventral hernias suitable for laparoscopic approach
- Active patients aiming for early return to daily activities
Advantages
- Smaller scars compared with open surgery
- Often less post-operative pain
- Frequently faster return to daily activities
- Both sides can be repaired in one session when appropriate
Mesh Use
A synthetic mesh is generally used to reinforce the abdominal wall and reduce recurrence. Choice of mesh and fixation (tackers, glue or self-fixing meshes) is individualised.
Risks
Bleeding, seroma, chronic groin pain, mesh-related issues and recurrence are recognised risks. General anaesthesia is required. All risks are discussed and informed consent is obtained before surgery.
Recovery After Surgery
Most patients return to light daily activities within a few days. Heavy lifting and intense sport are typically restricted for several weeks. Office work is often possible within 1 week.
When Is Emergency Care Needed?
After surgery, severe pain not controlled with prescribed medication, fever, persistent vomiting, wound problems or a new bulge require prompt medical evaluation.
Evaluation in Antalya
Decisions are made jointly after history, examination and imaging when needed. Not every hernia is suitable for the laparoscopic approach; suitability is assessed individually.
Frequently asked questions
TEP or TAPP — which is better?
Both are valid options. The choice depends on the surgeon's experience and the specific clinical situation.
Can I have laparoscopic repair after previous abdominal surgery?
Sometimes. Prior surgery is taken into account; in some cases an open approach is preferred.
Is general anaesthesia always required?
Yes, laparoscopic hernia repair is typically performed under general anaesthesia.
Is recurrence less with laparoscopic surgery?
Both open and laparoscopic mesh repair have low recurrence rates when performed appropriately.
When can I return to sport?
Usually after 3–6 weeks, depending on the technique used and individual recovery.
Related pages
More detailed Turkish content: /laparoskopik-fitik-ameliyati
This page provides general information only. Diagnosis and treatment decisions should be made by a physician after examination, tests and individual medical assessment.