Hernia Surgery pp 451-459 | Cite as

Laparoscopic TAPP Inguinal Hernia Repair

  • Sergio RollEmail author
  • James Skinovsky


Hernia repair is one of the most common procedures performed worldwide. Laparoscopic hernia repair is established as a safe and effective technique. Currently, laparoscopic inguinal hernia repair is not only widely accepted, but in many cases, especially with recurrent hernia or bilateral inguinal hernia, this approach has become a method of choice and for selected patients with primary unilateral inguinal hernias as well.

Two laparoscopic techniques for laparoscopic inguinal hernia repair are used currently: a totally extraperitoneal technique (TEP) and a transabdominal preperitoneal technique (TAPP). Each of the techniques has a different approach to the preperitoneal space but with similar repair techniques.

It is very important to understand the preperitoneal anatomy to prevent technical complications.

Overall, the data conclude that in experienced hands, that complication and recurrence rate is low with TAPP technique, but surgeons should tailor their surgical approach based on their experiences with laparoscopic hernia repair.


Hernia repair Laparoscopic hernia repair TAPP Complications Laparoscopy Hernia Hernioplasty Mesh Fixation Transabdominal preperitoneal 

Supplementary material

Video 43.1

Laparoscopic TAPP inguinal repair, by Roll (MPG 285,398 kb)

Video 43.2

Laparoscopic TAPP inguinal repair, by Roth (MOV 345,983 kb)

Video 43.3

Laparoscopic TAPP inguinal hernia repair, by Novitsky (MP 293,051 kb)


  1. 1.
    Kavic M, Roll S. Laparoscopic transabdominal preperitoneal hernia repair (TAPP). In: Bendavid R, Abrahamson J, Arregui M, Flament J, Phillips E, editors. Abdominal wall hernias—principles and management. New York: Springer; 2001. p. 454–63.CrossRefGoogle Scholar
  2. 2.
    Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, et al. Surg Endosc. 2011;25(9):2773–843.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Edwards CC, Bailey RW. Laparoscopic hernia repair: the learning curve. Surg Laparosc Endosc Percutan Tech. 2000;10(3):149–53. (Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. Apr 29 2004;350(18):1819-27.CrossRefPubMedGoogle Scholar
  4. 4.
    Cavazzola LT, Rosen MJ. Surg Clin N Am. 2013;93:1269–79.CrossRefPubMedGoogle Scholar
  5. 5.
    Zacharoulis D, Fafoulakis F, Baloyiannis I, Sioka E, Georgopoulou S, Pratsas C, Hantzi E, Tzovaras G. Laparoscopic transabdominal preperitoneal repair of inguinal hernia under spinal anesthesia: a pilot study. Am J Surg. 2009;198(3):456–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Agresta F, Mazzarolo G, Balbi P, Bedin N. Inguinal-scrotal hernias in young patients: is laparoscopic repair a possible answer? Preliminary results of a single-institution experience with a transabdominal preperitoneal approach. Hernia. 2010;14(5):471–5.CrossRefPubMedGoogle Scholar
  7. 7.
    McCormack K, Wake BL, Fraser C, et al. Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia. 2005;9(2):109–14.CrossRefPubMedGoogle Scholar
  8. 8.
    Nikkolo C, Lepner U, Murrus M, Vaasna T, Seepter H, Tikk T. Randomised clinical trial comparing lightweight mesh with heavyweight mesh for inguinal hernioplasty. Hernia. 2010;14(3):253–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Cobb WS, Kercher KW, Heniford BT. The argument for lightweight polypropylene mesh in hernia repair. Surg Innov. 2005;12(1):63–9.CrossRefPubMedGoogle Scholar
  10. 10.
    Hatzitheofilou C, Lakhoo M, Sofianos C, Levy RD, Velmahos G, Saadia R. Laparoscopic inguinal hernia repair by an intraperitoneal onlay mesh technique using expanded PTFE: a prospective study. Surg Laparosc Endosc. 1997;7(6):451–5.CrossRefPubMedGoogle Scholar
  11. 11.
    Kapiris S, Mavromatis T, Andrikopoulos S, et al. Laparoscopic transabdominal preperitoneal hernia repair (TAPP): stapling the mesh is not mandatory. J Laparoendosc Adv Surg Tech A. 2009;19:419.CrossRefPubMedGoogle Scholar
  12. 12.
    Drake RL, Vogl AW, Mitchell AWM. Gray’s Anatomy for Students. Philadelphia: Churchill-Livingstone; 2004. p. 258–65.Google Scholar
  13. 13.
    Roll S, dePaula A, Miguel P, Carim J, Campos FG, Hashiba K. Transabdominal laparoscopic hernioplasty using preperitonial mesh. In: Radcliffe R, editor. Inguinal hernia advances or controversies? Oxford: Oxford University Press; 1994. p. 261–4.Google Scholar
  14. 14.
    Spaw AT, Ennis BW, Spaw LP. Laparoscopic hernia repair: the anatomic basis. J Laparoendosc Surg. 1991;1(5):269–77.CrossRefPubMedGoogle Scholar
  15. 15.
    Bittner R, Leibl BJ, Jäger C, Kraft B, Ulrich M, Schwarz J. TAPP—Stuttgart technique and result of a large single center series. J Minim Access Surg. 2006;2(3):155–9.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Richards SK, Vipond MN, Earnshaw JJ. Review of the management of recurrent inguinal hernia. Hernia. 2004;8(2):144–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Ross SW, Oommen B, Kim M, Walters A, Augenstein V, Heniford BT. Tacks, staples, or suture: method of peritoneal closure in laparoscopic transabdominal preperitoneal inguinal hernia repair effects early quality of life. Surg Endosc. 2015;29(7):1686–93.CrossRefPubMedGoogle Scholar
  18. 18.
    Bittner R, Schmedt C-G, Schwarz J, Kraft K, Leibl BJ. Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg. 2002;89(8):1062–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Division of General SurgeryCenter of Abdominal Wall Surgery, Santa Casa of São PauloSão PauloBrazil
  2. 2.School of Medical Science Santa Casa of São PauloSão PauloBrazil
  3. 3.Positivo UniversityCuritibaBrazil
  4. 4.Surgical Residence of the Red Cross HospitalCuritibaBrazil

Personalised recommendations