MMSL 2013, 82(1):25-31 | DOI: 10.31482/mmsl.2013.002

ADVANTAGES AND DISADVANTAGES OF TRANSABDOMINAL PREPERITONEAL APPROACH AND TOTAL EXTRAPERITONEAL APPROACH VERSUS OPEN REPAIR OF INGUINAL HERNIAReview article

Radek Pohnán ORCID...1,2*, Faye Rozwadowski3, Leo Klein ORCID...2, Miroslav Ryska1
1 Department of Surgery, Central Military Hospital - Faculty Military Hospital, 2nd Faculty of Medicine, Charles University, Prague, Czech Republic
2 Department of Field Surgery, Faculty of Military Health Sciences, University of Defence, Hradec Králové, Czech Republic
3 Naval Health Clinic Lakehurst, Lakehurst, New Jersey, U.S.A.

Surgical repair of inguinal hernias is one of the most common surgical procedures performed. Since endoscopic inguinal hernia repair was first reported in 1990, the operation has been refined into an attractive alternative to open hernia repair for many patients and surgeons. Transabdominal preperitoneal approach (TAPP) and total extraperitoneal approach (TEP) are the most commonly used methods for miniinvasive inguinal hernia treatment. Employing the electronic databases MEDLINE, Pubmed and Ebscohost, these methods were compared with open techniques. Perioperative and postoperative complications, recurrent hernias and quality of life were evaluated. For patients with bilateral inguinal hernia or with recurrent inguinal hernia, endoscopic repair offers significant advantages over open techniques with regard to pain, recurrence risk and recovery. For unilateral primary hernias, either endoscopic or open tension - free repair with mesh can offer excellent and equivalent results.

Keywords: inguinal hernia; surgery; laparoscopy; TAPP; TEP

Received: November 18, 2013; Revised: February 3, 2013; Published: March 8, 2013  Show citation

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Pohnán, R., Rozwadowski, F., Klein, L., & Ryska, M. (2013). ADVANTAGES AND DISADVANTAGES OF TRANSABDOMINAL PREPERITONEAL APPROACH AND TOTAL EXTRAPERITONEAL APPROACH VERSUS OPEN REPAIR OF INGUINAL HERNIA. MMSL, 82(1), 25-31. doi: 10.31482/mmsl.2013.002
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