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