World Journal of Laparoscopic Surgery

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VOLUME 16 , ISSUE 1 ( January-April, 2023 ) > List of Articles

Original Article

Study of Selection of Method of Laparoscopic Inguinal Hernia Repair by Comparison of Totally Extraperitoneal with Transabdominal Preperitoneal

Keyur Narendrabhai Surati, Jainam Shah, Yogesh Modiya, Ronak Modi, Sourabh Damani, Kushal Prajapati, Aneri Shah, Arth Chaudhary

Keywords : Inguinal hernia, Transabdominal preperitoneal, Totally extraperitoneal

Citation Information : Surati KN, Shah J, Modiya Y, Modi R, Damani S, Prajapati K, Shah A, Chaudhary A. Study of Selection of Method of Laparoscopic Inguinal Hernia Repair by Comparison of Totally Extraperitoneal with Transabdominal Preperitoneal. World J Lap Surg 2023; 16 (1):15-20.

DOI: 10.5005/jp-journals-10033-1558

License: CC BY-NC 4.0

Published Online: 05-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Aim: Selection of type of laparoscopic inguinal hernia repair procedure for patients. To observe the comparison of the outcome of laparoscopic totally extraperitoneal (TEP) with transabdominal preperitoneal (TAPP) inguinal hernia repair. Explore the safety and feasibility of laparoscopic TEP and TAPP inguinal hernia repair. Advantages and Disadvantages of laparoscopic TEP with TAPP inguinal hernia repair. Materials and methods: In this study, 100 cases of inguinal hernia were admitted to the Department of General Surgery, L.G. Hospital, Maninagar, Ahmedabad, Gujarat, India in during the study period of 2019–2021 and operated for either of the laparoscopic methods randomly and equal in number. Results: All of our laparoscopic inguinal hernia repair patients selected for TEP and TAPP and all of them have good outcomes in the form of no recurrence. Both TEP and TAPP are found to have safe procedures and our institute has all the facilities required to perform inguinal hernia repair so it is feasible as well. Both procedures have their advantages and disadvantages, but both were found to be equally effective. Conclusion: From our study, we concluded that any of the inguinal hernia patients can be treated with either of the laparoscopic methods with equal results. There is no recurrence in both TEP and TAPP procedures. However, there are some concerns regarding the feasibility of both the procedure in the form of laparoscopic setup it requires and higher cost. Laparoscopic TEP repair is marginally better than TAPP in the form of the duration of surgical time, port site infection, and seroma while TAPP is marginally better at fewer chances of subcutaneous emphysema, the technicality of the procedure and diagnosis of opposite site hernia. However, both techniques are comparable and commendable if performed with precision and expertise.

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  1. Rutkow IM. A selective history of groin herniorrhaphy in the 20th century. Surg Clin North Am 1993;73(3):395–411. DOI: 10.1016/s0039-6109(16)46026-3.
  2. Rutkow IM, Robbins AW. Demographic, classificatory and socioeconomic aspects of hernia repair in the United States. Surg Clin North Am 1993;73(3):413–426. DOI: 10.1016/s0039-6109(16)46027-5.
  3. Choi Y, Kim Z, Hur K. Canadian J Surg 2012;55(1):33–36. DOI: 10.1503/cjs.019610.
  4. Bhandarkar DS, Shankar M, Udwadia TE. Laparoscopic surgery for inguinal hernia: Current status and controversies. J Min Access Surg 2006;2:178–186. DOI: 10.4103/0972-9941.27735.
  5. Laparoscopic versus open repair of groin hernia: A randomised comparison. The MRC laparoscopic Groin Hernia Trial Group. Laparoscopic surgery for inguinal hernia: A randomized comparison. Lancet 1999;354(9174):185–190. PMID: 10421299.
  6. Johansson B, Hallerback B, Glise H, et al. Laparoscopic mesh versus open preperitoneal mesh versus conventional technique for inguinal hernia repair. A randomized multicenter trial (SCUR Hernia Repair Study). Ann Surg 1999;230(2):225–231. DOI: 10.1097/00000658-199908000-00013.
  7. McCormack K, Scott NW, Go PM, et al. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 2003;2003(1):CD001785. DOI: 10.1002/14651858.CD001785.
  8. Grant AM, The EU Hernia Trialists Collaboration. Laparoscopic versus open groin hernia repair: Meta-analysis of randomized trials based on individual patient data. Hernia 2002;6:2–10. DOI: 10.1007/s10029-002-0050-8.
  9. Lowham AS, Filipi CJ, Fitzgibbons RJ, et al. Mechanisms of hernia recurrence after preperitoneal mesh repair. Ann Surg 1997;225:422–431. DOI: 10.1097/00000658-199704000-00012.
  10. Felix EL, Michas CA, Gonzalez MH Jr. Laparoscopic hernioplasty: TAPP vs TEP. Surg Endosc 1995;9(9):984–989. DOI: 10.1007/BF00188456.
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