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Transabdominal preperitoneal (TAPP) repair for emergency groin hernia: a systematic review

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Abstract

Purpose

Laparoscopic groin hernia repair has evolved and gained popularity and laparoscopic transabdominal preperitoneal (TAPP) procedure provides an opportunity to evaluate the peritoneal cavity and both inguinal areas without the need for additional dissection. There is still a paucity of evidence to support TAPP repair in the emergency setting. In this systematic review, we aim to evaluate the feasibility and safety of TAPP repair for incarcerated and strangulated groin hernias.

Methods

PRISMA guidelines were followed for literature search and established inclusion and exclusion criteria were applied. Data were extracted and analyzed for the outcomes of interest.

Results

Overall, 8 studies were included in the review, comprising 316 patients. Patients characteristics and outcomes were limitedly reported. Only 3 cases of conversion to open approach were reported and 2 recurrences were diagnosed. Postoperative complications are inconsistently reported but mostly refer to minor complications. There were no mortality cases. Visceral resections were performed in 25 cases due to ischemia, mostly extracorporeally.

Conclusion

Laparoscopy is a game changer and TAPP approach is a feasible, safe, and effective technique for the emergent repair of groin hernias. Further studies and prospective randomized data are needed to establish its role in the emergent groin hernia management.

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Data availability

All data supporting the findings of this study are available within the paper.

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Author notes

  1. Tiago Correia de Sá and Filipa Jácome were contributed equally to this work.

Authors and Affiliations

  1. General Surgery Department, Unidade Local de Saúde do Tâmega e Sousa, Penafiel, Portugal

    T. Correia de Sá, T. Basto, M. Costa, Á. Gonçalves, N. Teixeira, L. Castro Neves & J. Barros da Silva

  2. Angiology and Vascular Surgery Department, Unidade Local de Saúde de São João, Porto, Portugal

    F. Jácome

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  1. T. Correia de Sá
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  3. T. Basto
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Correspondence to T. Correia de Sá.

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Correia de Sá, T., Jácome, F., Basto, T. et al. Transabdominal preperitoneal (TAPP) repair for emergency groin hernia: a systematic review. Hernia (2024). https://doi.org/10.1007/s10029-024-03018-8

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