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Published on: September 11, 2021
Laparoscopic hernia repair--TAPP or/and TEP?
1Department for General and Visceral Surgery, Marien Hospital, Stuttgart, Germany. bernhard.liebl@klinikum-coburg.de
Background:
Of various endoscopic hernia repair procedures, TAPP and TEP have been selected for routine use.
Methods:
Results from Medline research were analysed.
Results:
There is a similar risk for postoperative morbidity for both techniques. The recurrence rate in large single-centre series is between 0% and 3.4%. There were numerous indications for both procedures, whereby a transperitoneal TAPP can also be applied in cases of previous preperitoneal operations.
Conclusion:
Randomised trials comparing both methods of hernia repair are lacking. Seven non-randomised studies showed no differences in recurrence rate and morbidity. In general the learning curve for is shorter in favour of TAPP repair.
