Primary Inguinal Hernia: TAPP

  • Diego CuccurulloEmail author
  • Marta Cavalli


Transabdominal preperitoneal patch (TAPP) is indicated in bilateral primary hernia and recurrent inguinal hernia after the previous anterior approach.

Recently, the key points of the techniques have been described and validated according to the criteria of evidence-based medicine (Oxford Classification) and are reported as the following: pneumoperitoneum induction, trocar placement, dissection, mesh placement and fixation, and peritoneal and trocar incision closure.

In case of insecurity during the dissection, the TAPP technique allows, in contrary to TEP (total extraperitoneal patch plasty), the immediate view of intraperitoneal structures behind the flap thereby avoiding possible sectional or thermal damage.


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.U.O.C. di Chirurgia Generale—Centro di Chirurgia Laparoscopica e Robotica Ospedale MonaldiNaplesItaly
  2. 2.University of InsubriaVareseItaly
  3. 3.Centro di Ricerca di Alta Specializzazione sulla Patologia della Parete Addominale e sulla Chirurgia Riparativa delle Ernie AddominaliIstituto Clinico Sant’Ambrogio, Hernia Center di MilanoMilanItaly

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