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Complications in TAPP Hernia Repair

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Complications in Laparoscopic Surgery

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Abstract

TAPP hernia repair is a quite well-standardised procedure.

A consequent adherence to the principles of minimal invasive surgery and a profound knowledge of the local preperitoneal anatomy should prevent the majority of possible adverse events. Nevertheless, complications do exist. The true incidence of complications in laparoscopic hernia repair is certainly underreported.

The systematic study of the nature and the mechanism of complications is the best way to prevent them and to learn how to react correctly when they still occur.

Overall complication rate in laparo-endoscopic hernia repair is low. In order to anticipate and avoid all possible and nearly impossible problems, it is recommended to analyse the whole procedure thoroughly and create a checklist of it - plan A.

Plan B is a collection of solutions on how to manage the known complications. Plan C is difficult to develop: it is the experience, the intuition and the know-how of dealing with the unexpected.

Conclusion: It is worth to invest in structured teaching of any surgical procedure. Most complications of TAPP repair are avoidable. Present analysis tries to support the prevention of complications by awareness and knowledge.

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Authors and Affiliations

  1. Hirslanden Klinik Im Park, Zurich, Switzerland

    Jan F. Kukleta

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Editors and Affiliations

  1. General and Laparoscopic Surgery, Istanbul University Medical School, Istanbul, Turkey

    Cavit Avci

  2. Dept. of Surgery, Hospital CUF Infante Santo, Lisbon, Portugal

    José M. Schiappa

7.1 Electronic Supplementary Material

Video 7.1

TAPP: Adhesions to a dislocated plug (MP4 3003 kb)

Video 7.2

TAPP: Bleeding controlled with compression (MP4 7443 kb)

Video 7.3

TAPP: Dislocated mesh without hernia (MP4 917 kb)

Video 7.4

TAPP: Large indirect hernia (MP4 14200 kb)

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Kukleta, J.F. (2016). Complications in TAPP Hernia Repair. In: Avci, C., Schiappa, J. (eds) Complications in Laparoscopic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-19623-7_7

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