Laparoscopic Totally Extra-Peritoneal (TEP) Versus Transabdominal Pre-Peritoneal (TAPP) Inguinal Hernioplasty

Tyur, Ahmed Masaud A.; Orban, Yasser A.; Sallam, Ahmed M.; Sarhan, Abdelrahman A.

doi:10.21608/ejhm.2022.224893

Laparoscopic Totally Extra-Peritoneal (TEP) Versus Transabdominal Pre-Peritoneal (TAPP) Inguinal Hernioplasty

Document Type : Original Article

Authors

10.21608/ejhm.2022.224893

Abstract

Background: The totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repair are the most prominent laparoscopic techniques for the repair of inguinal hernia.
Objective: The current study aimed to reduce postoperative complications including recurrence rate, wound infection, and nerve injury.
Patients and methods: The study was a prospective comparative between TEP versus TAPP inguinal hernioplasty. The study included 60 patients who were presented in the outpatient clinic at Zagazig Hospitals University and followed up at our clinics. The cases were aliquoted randomly into 2 groups, group (I): 30 cases subjected to TAPP hernioplasty, and group (II): 30 cases subjected to TEP hernioplasty.
Results: The present findings showed remarkable increase in scrotal swelling frequency in TEP group than TAPP group, and also a significant elevation in subcutaneous emphysema frequency in TAPP group than TEP group, while concerning the operative complication there was not any remarkable difference between the groups. The current results revealed that during follow-up (6 months), there was not any reported recurrent cases.
Conclusion: TEP showed increased safety and potential peritoneal repair. On the other side, TAPP revealed easier learning curve and fine visualization. Both techniques are effective in inguinal hernia management and were associated with 0% recurrence. However, due to short follow up duration, and small sample size, longer-term studies are also recommended.

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