Which method for the laparoscopic repair of inguinal hernia?; TAPP versus TEP

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Aim: The aim of this study is to prove that the total extraperitoneal patch plasty (TEP) method can be accepted as a standard methodin elective and appropriate cases.Materials and Methods: Six hundred sixty-five (665/678) patients with an uncomplicated primary inguinal hernia who consentedto participate in the study were randomized into two groups: Group I transabdominal preperitoneal patch plasty (TAPP) repair andGroup II TEP repair. Perioperative and postoperative complications and recurrence were detected with the help of radiology unit ofour hospital and recorded. The patients were followed up for 1, 6, 12, 24 and 48 weeks.Results: The difference between the number of Tackers and return to work was significant (p<0.05). While complications related tobleeding and anaesthesia were more common in TAPP (p<0.05), no difference was found between the two methods in terms of organinjury and conversion (p>0.05). A significant difference was found between the two methods in terms of all complications exceptfor chronic pain, seroma of inguinal area, subcutaneous emphysema and testicular ischemia (p <0.05). No significant differencewas found between obese patients and other groups when BMI groups were evaluated in terms of perioperative and postoperativecomplications (p>0.05).Conclusion: It is indisputable that the TEP method is less invasive than TAPP. TAPP should still remain method used in thelaparoscopic hernia learning curve for the pushing forward of laparoscopic anatomy vision and used for very complicated inguinalhernias such as the undescended testis and giant inguinal hernias.


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Annals of Medical Research

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