Tapp Inguinal Hernia Repair Technique

Two large studies on bilateral inguinal hernia repair 2880 patients in 2010 8 and 1336 patients in 2002 9 showed that compared to unilateral repair bilateral tapp was safe comfortable for patients and cost effective without increased morbidity or recurrence risk. Surgery on an inguinal hernia will result in the patient no longer having a lump outside the abdominal wall as the hernia is pushed back into place and secured with a mesh. There are 2 standard techniques of laparoscopic groin hernia repair totally extraperitoneal repair tep and transabdominal preperitoneal repair tapp.

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At the start of the robotic assisted tapp inguinal hernia repair the author asi followed the similar technique as laparoscopic tapp inguinal hernia repair including ports position.

Tapp inguinal hernia repair technique. In both the open and laparoscopic repair procedures the aim is to cover the whole inguinofemoral area by a preperitoneal prosthetic mesh and recurrences should not occur. The most commonly used laparoscopic techniques or inguinal hernia repair are transabdominal preperitoneal tapp repair and totally extraperitoneal tep repair. The initial experiences showed the need for technical modifications to prevent the robotic arm clashing better visualization and access to both groin sides. 14 40 patients suffered from hernia recurrences after open hernioplasty.

For the tapp technique the surgeon enters the membrances covering the organs in the abdominal cavity and places. The choice of approach to the laparoscopic repair of inguinal hernia is controversial. Laparoscopic inguinal hernia repair tapp has gained increasing popularity because of less post operative pain and a shorter duration of convalescence compared with open hernia repair technique. 2 14 patients were asa 1 and 12 14 patients asa 2.

Among all inguinal hernia repair techniques that utilize a preperitoneal placement of mesh the advantage of laparoscopic hernioplasty tapp is based on the fact that any type of groin hernia can be treated safely and effectively in a standardized way diagnostic laparoscopy allows an immediate evaluation of the type of hernia on both the sides. Between january and december 2008 40 patients underwent tapp inguinal hernia repair. Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Tapp requires access to the peritoneal cavity with placement of a mesh through a peritoneal incision.

Inguinal hernia repair in recurrence generally the short term recurrence rate of laparoscopic inguinal hernia repair is reported to be less than 5 percent. Tep has the advantage that the peritoneal cavity is not breached but is however considered to be more difficult to master when compared with tapp we describe herein our experience of tep repair of inguinal hernia over the last. Inguinal hernias account for 75 of all abdominal wall hernias and with a lifetime risk of 27 in men and 3 in women. However open inguinal hernia repair was performed with the lichtenstein.

Mean age of males n 13 was 56 0 years and females n 1 75 0 years. The laparoscopic inguinal hernia repair tapp procedure.