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Hernia

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Why I prefer TAPP repair for uncomplicated unilateral groin hernia in adults

  • J. F. KukletaEmail author
Letter to the Editor
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My first choice of repair of an uncomplicated unilateral groin hernia of an adult person is the transabdominal preperitoneal patch technique—TAPP. Over the past 27 years, since I have started this minimal invasive repair, my conviction in making this choice became stronger and stronger, being nourished by the very good clinical outcomes and high patient’s satisfaction. Based on my personal experience TAPP is the logic of groin hernia repair [1].

To understand the arguments and reasons for this evolutional process we have to flashback about three decades. Gold standard was then the pure tissue repair, at its best the Shouldice repair. Wound healing complications belonged to surgery, acute postoperative pain too and chronic pain was not “discovered” yet. Recurrence rates from 16 to 20% were normal, 6 weeks lifting restriction to 5 kg led to incapacity for work of 6–8 weeks. Prosthetic materials were introduced to reinforce the repair (e.g. Acquaviva, Usher, Stoppa, Lichtenstein) and to...

Notes

Compliance with ethical standards

Conflict of interest

The author declares no conflict of interest.

Ethical approval

Approval from institutional board was not required for this communication.

Human and animal rights

This article does not contain any studies with human participants or animals.

Informed consent

For this retrospective review formal consent is not required.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Klinik Im Park, Hirslanden GroupZurichSwitzerland

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