Laparoscopic Transabdominal Pre-Peritoneal (TAPP) procedure - step-by-step tips and tricks

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Abdominal Surgery

Background:

• Minimally invasive groin hernia repair remains debated but is increasingly adopted for ambulatory surgery.
• The Trans Abdominal Pre Peritoneal (TAPP) laparoscopic approach is detailed for groin hernia treatment.

Purpose of the Study:

• To present the step-by-step surgical technique of the TAPP approach for groin hernias.
• To highlight key procedural points, including landmark recognition, dissection, mesh placement, and closure.

Main Methods:

• Detailed step-by-step description of the laparoscopic TAPP procedure.
• Emphasis on critical elements: anatomical landmark identification, diagnosis of occult hernias, dissection, mesh fixation, and peritoneal closure.
• Inclusion of practical tips and tricks for the TAPP technique.

Main Results:

• The TAPP approach is a feasible method for groin hernia treatment.
• Associated with a low rate of postoperative morbidity and recurrence.
• Facilitates intraoperative diagnosis of occult hernias and treatment of incarcerated/strangulated hernias.

Conclusions:

• TAPP is a viable and effective laparoscopic technique for groin hernia repair.
• Anatomical landmarks are readily identifiable, aiding surgical precision.
• Laparoscopic exploration enables diagnosis and treatment of complex hernia cases, including occult and strangulated hernias.