Related Experiment Video
Updated: Apr 14, 2026
09:00
Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
2.4K
Laparoscopic transabdominal preperitoneal approach for recurrent inguinal hernia: A randomized trial
Aly Saber1, Emad N Hokkam2, Goda M Ellabban2
1Department of General Surgery, Port-Fouad General Hospital, Port-Fouad, Port-Said, Egypt.
Journal of Minimal Access Surgery
|April 18, 2015
Summary
For recurrent inguinal hernia repair, both laparoscopic transabdominal preperitoneal (TAPP) and open posterior preperitoneal approaches offer effective outcomes. TAPP provides faster recovery and fewer complications compared to the anterior approach.
Area of Science:
- Surgical Innovation
- Hernia Repair Techniques
- Minimally Invasive Surgery
Background:
- Recurrent inguinal hernia repair presents challenges due to tissue damage and anatomical distortion.
- The open posterior preperitoneal approach demonstrates superior results compared to anterior methods.
- Laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is an emerging minimally invasive technique.
Purpose of the Study:
- To compare the outcomes of open posterior preperitoneal, transinguinal anterior tension-free, and TAPP approaches for recurrent inguinal hernia repair.
- To evaluate complications and early recurrence rates across the three surgical methods.
Main Methods:
- 180 patients with recurrent inguinal hernias were randomly assigned to three groups: open posterior preperitoneal (A), transinguinal anterior tension-free (B), and TAPP (C).
- Primary endpoint was hernia recurrence; secondary endpoints included time off work, postoperative pain, scrotal swelling, and wound infections.
Main Results:
- Group C (TAPP) showed significantly shorter mean hospital stays and return-to-work times compared to groups A and B.
- Chronic postoperative pain rates were 13.33% (A), 30% (B), and 10% (C).
- Overall complication rates were 19.7% (A), 34.36% (B), and 19.7% (C).
Conclusions:
- Laparoscopic TAPP and open posterior preperitoneal approaches are equally effective for recurrent inguinal hernia repair regarding operative outcomes.
- Open preperitoneal repair is cost-effective with low recurrence, minimal pain, and short recovery.
- TAPP offers advantages like reduced postoperative pain, early recovery, minimal hospital stay, and low complication/recurrence rates, despite a steep learning curve.
