Tep Tapp Repair For Inguinal Hernia

Male patient with an indirect hernia.

Tep tapp repair for inguinal hernia. The tep technique was used for all inguinal hernia repairs with the exception of procedures in the 7 patients 0 9 who underwent a conversion to tapp repair. 14 15 8 although many facets of laparoscopic inguinal hernia repair continue to be debated such as the possible superiority of one laparoscopic approach to another comparisons between laparoscopic and open surgery the learning curve and training issues and the socioeconomic implications both tapp and tep have been shown to be. This video shows how inguinal hernias form and how they are treated. Cochrane database syst rev.

A detailed description of the procedure is presented focusing on seven key steps. This procedure differs from tapp as a mesh is used to seal the hernia from outside the the thin membrane that covers the organs in the abdomen. Tapp tep inguinal hernia groin hernia femoral hernia technique endoscopic repair rct clinical trial systematic review meta analysis outcome studies individual experience report and specific terms associated with the technical key element described below. Tapp requires access to the peritoneal cavity with placement of a mesh through a peritoneal incision.

One of the most common types of inguinal hernia repair is referred to as totally extraperitoneal or tep. The most common concurrent procedure accompanying inguinal repair was umbilical hernia repair. Its indications have developed and broadened over time to encompass almost the whole spectrum of groin hernias. The transabdominal pre peritoneal tapp repair and the totally extra peritoneal tep repair.

Several studies have demonstrated a clear advantage of laparoscopic hernia repair over open repair in terms of reduced post operative pain and earlier return to work and normal activities. The choice of approach to the laparoscopic repair of inguinal hernia is controversial. An inguinal hernia is a bulging of the intestine through a defect or weak spot in the wall of the lower abdomen. Transabdominal pre peritoneal tapp vs totally extraperitoneal tep laparoscopic techniques for inguinal hernia repair.

The most commonly used laparoscopic techniques or inguinal hernia repair are transabdominal preperitoneal tapp repair and totally extraperitoneal tep repair. Video shows a edited and very didatical laparoscopic right inguinal indirect hernia repair by tapp techinique. Laparoscopic totally extraperitoneal tep inguinal hernia repair is an effective minimally invasive method for treating hernias that avoids entry into the abdomen.