A prospective randomized pilot study comparing transabdominal preperitoneal versus totally extraperitoneal laparoscopic inguinal hernioplasty in recurrent inguinal hernia

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Abstract

Background: Inguinal hernia repair is one of the most common surgeries. About 20% of cases with primary inguinal
hernia underwent minimally invasive procedure. Recurrent inguinal hernia (RIH) after minimally invasive surgery has
been recorded in about 2% of cases for totally extraperitoneal (TEP) as well as for transabdominal preperitoneal (TAPP)
repair.
Aim: To compare the laparoscopic TAPP and TEP repair of inguinal hernia in RIH.
Patients and Methods: This was a prospective randomized study planned for patients diagnosed with RIH. The study
population was divided into two groups; group (1) included patients who had the TAPP approach, while group (2) included
patients who had TEP approach. The patients were evaluated for postsurgical adverse events such as postoperative pain,
recurrence, infection, seromas, and hematomas.
Results: There were significant differences recorded among both groups as regards operative time and postoperative
pains, which were significantly increased in the TAPP group compared to TEP group. No significant difference was
recorded between the groups regarding operative complications and recurrence rate.
Conclusion: In the context of RIH, both TEP and TAPP repair seem to be efficient approaches with regard to low
recurrence rate and minimal complications. However, TEP was associated with minimal pain and short OT.

Keywords

The Egyptian Journal of Surgery
Volume 44, Issue 2
April 2025
Pages 549-555

Files

Share

How to cite

Statistics