Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair

The inguinal hernia repair is one of the most frequent surgical procedures: in the world, even year, at least 20.000.000 inguinal hernia repair procedures are performed. Although the laparoscopic approach is widely recognized as a valid treatment for many diseases and some laparoscopic surgical procedures have become gold standard techniques (e. g. cholecystectomy, appendectomy, gastro-esophageal junction surgery), the minimally invasive approach for groin hernia treatment is still very controversial today, but in the last few years, it tends to become the standard practice for 1 day surgery. We present here the technique of laparoscopic Transabdominal Preperitoneal approach (TAPP). The surgical technique is described step-by-step, including surgical details and the new concept of “inverted Y” to achieve the “critical view of safety” for laparoscopic inguinal hernia repair.

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Transabdominal preperitoneal laparoscopic approach for incarcerated inguinal hernia repair

Medicine ◽

10.1097/md.0000000000005686 ◽

2016 ◽

Vol 95 (52) ◽

pp. e5686 ◽

Cited By ~ 13

Author(s):

Shuo Yang ◽

Guangyong Zhang ◽

Cuihong Jin ◽

Jinxin Cao ◽

Yilin Zhu ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Laparoscopic Approach ◽

Incarcerated Inguinal Hernia ◽

Transabdominal Preperitoneal

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A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

International Surgery Journal ◽

10.18203/2349-2902.isj20171017 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1244

Author(s):

Sudarshan P. B. ◽

Sundaravadanan B. S. ◽

Prabu Shankar S.

Keyword(s):

Inguinal Hernia ◽

Retrospective Study ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Laparoscopic Repair ◽

Laparoscopic Approach ◽

Bilateral Hernia ◽

Totally Extraperitoneal ◽

Transabdominal Preperitoneal ◽

Inguinal Hernias

Background: The two common procedures which are nowadays commonly performed for laparoscopic repair of inguinal hernia are transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) mesh repair. This retrospective study was aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms of various outcomes.Methods: In this retrospective study, we included 50 cases of inguinal hernia who underwent laparoscopic approach of inguinal hernia repair at Saveetha medical college and hospital between 2014 and 2016 for a duration of 3 years. Various parameters including the age, sex of patient, type of hernia, preoperative and post-operative complications, duration of hospital stay was analysed.Results: Of the 50 patients who underwent laparoscopic repair, 26 patients underwent TEP and 24 patients under went TAPP procedure. 31 cases were indirect inguinal hernias and 30 cases were direct inguinal hernias, totalling 61 hernia repairs, as 11 patients had bilateral hernia. One female inguinal hernia and 4 cases of recurrent hernia were operated by TAPP method. Postoperative complications like seroma formation; subcutaneous emphysema was seen in TEP group. Two cases of TEP were converted to TAPP and open lichenstein procedure. Postoperative pain was less in both the group. Patients who underwent TEP procedure spent less time in the hospital compared to those who underwent TAPP procedure.Conclusions: There is no major difference in the outcome after TEP and TAPP surgeries except for some minor complications and the results are comparable in both techniques TAPP and TEP. Both the procedures can be practiced according to surgeon’s familiarity of the procedure.

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Short-term Outcomes of Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair Performed as Day Surgery

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.81.1703 ◽

2020 ◽

Vol 81 (9) ◽

pp. 1703-1709

Author(s):

Koji MATSUSHITA ◽

Naoki OHASHI ◽

Nobumi TAGAYA ◽

Akihiro HOSHINO ◽

Kunitomo KASHIWAGI ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Day Surgery ◽

Short Term ◽

Transabdominal Preperitoneal ◽

Transabdominal Preperitoneal Inguinal Hernia

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SYSTEMIZATION OF LAPAROSCOPIC INGUINAL HERNIA REPAIR (TAPP) BASED ON A NEW ANATOMICAL CONCEPT: INVERTED Y AND FIVE TRIANGLES

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/0102-672020180001e1426 ◽

2019 ◽

Vol 32 (1) ◽

Cited By ~ 9

Author(s):

Marcelo FURTADO ◽

Christiano M. P. CLAUS ◽

Leandro Totti CAVAZZOLA ◽

Flavio MALCHER ◽

Alexandre BAKONYI-NETO ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Laparoscopic Approach ◽

Laparoscopic Inguinal Hernia Repair ◽

Anatomic Landmarks ◽

Critical View Of Safety ◽

Laparoscopic Inguinal Hernia ◽

General Surgeons ◽

Mandatory Use

ABSTRACT Background: Laparoscopic inguinal hernia repair has been shown to be superior than open repairs with faster return to daily activities and decrease in the occurrence of chronic pain. However, higher direct costs and mandatory use of general anesthesia are arguments against their use. In addition, increased complexity of surgery resulting from an anatomy that is unusual to general surgeons prevents the widespread adoption of laparoscopic approach. Aim: To propose a technical systematization for transabdominal laparoscopic repair (TAPP) of inguinal hernias based on anatomical concepts. Method: To offer a systematization of TAPP repair based on well defined anatomic landmarks, describing the concept of “inverted Y”, identification of five triangles and three zones of dissection, to achieve the “critical view of safety” for laparoscopic inguinal hernia repair. Results: Since this standardization was developed five years ago, many surgeons were trained following these precepts. Reproducibility is high, as far as, it´s rate of adoption among surgeons. Conclusion: The concept of the “inverted Y”, “Five triangles” and the dissection based in “Three Zones” establish an effective and reproducible standardization of the TAPP technique.

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