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TAPP vs. TEP

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The SAGES Manual of Hernia Repair

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Abstract

The two most common techniques for laparoscopic inguinal hernia repair are the transabdominal preperitoneal (TAPP) technique and the totally extraperitoneal (TEP) technique. Although in the end both techniques are used to place mesh in the preperitoneal space to cover the entire myopectineal orifice, they differ in how access to that space is obtained, and slight differences between the two approaches exist. TAPP is quicker to learn and is associated with an overall low but higher risk of visceral injury and port-site herniation. TAPP has a slight operative time advantage with no difference in hernia recurrence rate. Pain may be more a function of mesh fixation during the operation rather than technique itself. This chapter discusses the risks and benefits of each technique and compares their surgical outcomes.

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Author information

Authors and Affiliations

  1. Division of Minimal Access and Bariatric Surgery, Department of Surgery, Greenville Hospital System University Medical Center, University of South Carolina School of Medicine–Greenville, Greenville, SC, USA

    Alfredo M. Carbonell II DO

Authors
  1. Alfredo M. Carbonell II DO
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Correspondence to Alfredo M. Carbonell II DO .

Editor information

Editors and Affiliations

  1. , Mount Sinai Medical Center, Mount Sinai School of Medicine, 1010 5th Avenue, New York, 10028, New York, USA

    Brian P. Jacob

  2. Advanced Hernia Solutions, Department of General Surgery, Transformative Care Institute, 1890 Lpga Blvd Suite 250, Daytona Beach, 32117, USA

    Bruce Ramshaw

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Carbonell, A.M. (2013). TAPP vs. TEP. In: Jacob, B., Ramshaw, B. (eds) The SAGES Manual of Hernia Repair. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4824-2_17

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  • DOI: https://doi.org/10.1007/978-1-4614-4824-2_17

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4823-5

  • Online ISBN: 978-1-4614-4824-2

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