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Comparison TAPP vs. TEP: Which Technique Is Better?

  • Virinder Kumar Bansal
  • Asuri Krishna
  • Nalinikant Ghosh
  • Reinhard Bittner
  • Mahesh C. Misra
Chapter

Abstract

TEP and TAPP are the two standard techniques for laparoscopic repair of groin hernia. There have been many studies comparing TEP and TAPP in terms of safety and efficacy; however, there are conflicting reports of advantages of one over the other. TAPP has been reported to be easier to learn but has a higher incidence of visceral injury, postoperative pain, and longer operative time [1]. On the other hand, TEP avoids violation of the peritoneal cavity but is associated with a longer learning curve and a lesser incidence of vascular and visceral injury [1]. The recent guidelines for laparoscopic groin hernia repair published by the International Endo Hernia Society (IEHS) also could not answer the question of which of the two techniques is better [2]. There have been many systematic analyses comparing TEP and TAPP repairs, and the major differences between the two techniques are as follows:
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    Access-related complications

     

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Authors and Affiliations

  • Virinder Kumar Bansal
    • 1
  • Asuri Krishna
    • 1
  • Nalinikant Ghosh
    • 1
  • Reinhard Bittner
    • 2
  • Mahesh C. Misra
    • 3
  1. 1.Department of Surgical DisciplinesAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Winghofer Medicum, Hernienzentrum Rottenburg a.N.Rottenburg am NeckarGermany
  3. 3.Mahatma Gandhi University of Medical Sciences & TechnologyJaipurIndia

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