Comparison of TAPP and TEP in laparoscopic inguinal hernia repair

Year 2024, , 174 - 179, 25.03.2024

İbrahim Halil Öcal , Burak Veli Ülger , Mustafa Öcal

https://doi.org/10.32322/jhsm.1412322

Abstract

Aims: The aim of this study was to compare TAPP and TEP techniques, which are laparoscopic inguinal hernia repair techniques. In this study, it was tried to determine whether one technique has an advantage over the other in terms of surgery, hospitalization and recovery times, recurrence, postoperative bleeding and testicular edema.
Methods: Totally 62 patients who underwent laparoscopic inguinal hernia repair between January 2015 and January 2020 were included in this retrospective study.
Results: Among the patients who underwent TAPP and TEP operations; it was determined that there was no significant difference in terms of operation time, recovery time, hospital stay, recurrence and complications (p>0.05).
Conclusion: Based on the results of this study, TEP and TAPP are equally effective and safe as laparoscopic hernia repair surgery. The choice of which approach to perform can be made according to the skill and preference of the surgeon.

Keywords

inguinal hernia, laparoscopy, TAPP, TEP

References

• 1. Fitzgibbons Jr RJ, Forse RA. Clinical practice. Groin hernias in adults. N Engl J Med. 2015;372(8):756-763.
• 2. Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide prevalence of groin hernia repair. PLoS One. 2013;8(1):e54367.
• 3. Wozniewska P, Golaszewski P, Pawluszewicz P, Razak Hady HR. Inguinal hernias – the review of literatüre. Post N Med. 2018;31(5):287-291.
• 4. Bittner R, Schwarz J. Inguinal hernia repair: current surgical techniques. Langenbeck’s Arch Surg. 2012;397(2):271-282.
• 5. Chao TC, Tung HY, Tsai CH, et al. Laparoscopic versus robotic TAPP/TEP inguinal hernia repair: a multicenter, propensity score weighted study. Hernia. 2023. doi: 10.1007/s10029-023-02916-7. PMID: 37934377.
• 6. Bittner R, Arregui ME, Bisgaard T, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal Hernia (International Endohernia Society (IEHS)). Surg Endosc. 2011;25(9):2773-2843.
• 7. Scheuermann U, Niebisch S, Lyros O, Jansen-Winkeln B, Gockel I. Transabdominal preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair- a systematic review and meta-analysis of randomized controlled trials. BMC Surg. 2017;17(1):55.
• 8. Hammoud M, Gerken J. Inguinal Hernia. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513332/
• 9. Çelik Y, Erbil OA. Genel anestezi altında laparoskopik transabdominal preperitoneal ve total ekstraperitoneal herni tamirinin karşılaştırılması. Anatolian Clin J Med Sci. 2020;25(1):7-11.
• 10. Köckerling F, Bittner R, Jacob DA, et al. TEP versus TAPP: comparison of the perioperative outcome in 17,587 patients with a primary unilateral inguinal hernia. Surg Endosc. 2015;29(12):3750-3760.
• 11. Krishna A, Misra MC, Bansal VK, Kumar S, Rajeshwari S, Chabra A. Laparoscopic inguinal hernia repair: transabdominal (TAPP) versus totally extraperitoneal (TEP) approach: a prospective randomized controlled trial. Surg Endosc. 2012;26(3):639-649.
• 12. Sharma D, Yadav K, Hazrah P, Borgharia S, Lal R, Thomas S. Prospective randomized trial comparing laparoscopic transabdominal preperitoneal (TAPP) and laparoscopic totally extra peritoneal (TEP) approach for bilateral inguinal hernias. Int J Surg. 2015;22:110-117.
• 13. Wei FX, Zhang YC, Han W, Zhang YL, Shao Y, Ni R. Transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) for laparoscopic hernia repair: a meta-analysis. Surg Laparosc Endosc Percutan Tech. 2015;25(5):375-383.
• 14. Vãrcuæ F, Duåã C, Dobrescu A, Lazãr F, Papurica M, Tarta C. Laparoscopic repair of inguinal hernia TEP versus TAPP. Chirurgia (Bucur). 2016;111(4):308-312.
• 15. Rao AMK. Transabdominal preperitoneal (TAPP) Vs total ext-raperitoneal (TEP) Laparoscopic inguinal hernia repair; a comparative study in terms of operative and postoperative complications. PJMHS. 2014;8(2):356-360.
• 16. Özkaya G. Kasık fıtıklarında laparoskopik yöntemler ve sonuçları. Master Thesis. İstanbul University-Cerrahpaşa Faculty of Medicine. İstanbul. 2020.
• 17. Jaiswal RK, Pandey NK, Tolat A, et al. A prospective comparative study of laparoscopic totally extraperitoneal (TEP) and laparoscopic transabdominal preperitoneal (TAPP) inguinal hernial repair. Cureus. 2023;15(7):e42209. doi: 10.7759/cureus.42209.
• 18. Antoniou SA, Antoniou GA, Bartsch DK, et al. Transabdominal preperitoneal versus totally extraperitoneal repair of inguinal hernia: a meta-analysis of randomized studies. Am J Surg. 2013;206(2):245-252.
• 19. Köckerling F, Krüger C, Gagarkin I, et al. What is the outcome of re-recurrent vs recurrent inguinal hernia repairs? An analysis of 16,206 patients from the Herniamed Registry. Hernia. 2020;24(4):811-819.
• 20. Hidalgo NJ, Guillaumes S, Bachero I, et al. Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP). BMC Surg. 2023;23(1):270. doi: 10.1186/s12893-023-02177-2.