Skip to main content

Laparoscopic Inguinal Hernia Repair: TAPP

  • Chapter
  • First Online:
Book cover Advances in Laparoscopy of the Abdominal Wall Hernia

Abstract

Two laparoscopic techniques for laparoscopic inguinal hernia repair are used currently: a totally extraperitoneal technique (TEP) and a transabdominal preperitoneal technique (TAPP). In TAPP, the peritoneum is incised to gain access to the preperitoneal space, and similar surgical steps are performed in both techniques: hernia content reduction, treatment of hernial sac, and placement of preperitoneal mesh. Nowadays, it is accepted that TEP is preferred over TAPP because the TEP technique has a lower rate of trocar-site hernias and intra-abdominal injuries. However, TEP is a more demanding and complex technique, with a higher learning curve. For laparoscopic inguinal hernia repair, the TAPP intervention should be learned as a first step. TEP has a steeper learning curve, and after mastering TEP, performing TAPP will come easily.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shah NR, Mikami DJ, Cook C, Manilchuk A, Hodges C, Memark VR, Volckmann ET, Hall CR, Steinberg S, Needleman B, Hazey JW, Melvin WS, Narula VK. A comparison of outcomes between open and laparoscopic surgical repair of recurrent inguinal hernias. Surg Endosc. 2011;25(7):2330–7.

    Article  PubMed  Google Scholar 

  2. Schopf S. Chronic pain after laparoscopic transabdominal preperitoneal hernia repair: a randomized comparison of light and extralight titanized polypropylene mesh. World J Surg. 2011;35(2):302–10.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Fortenly RH, Schwab R. The assessment of quality of life in a trial on lightweight mesh fixation with fibrin sealant in transabdominal preperitoneal hernia repair. Hernia. 2008;12(5):499–505.

    Article  Google Scholar 

  4. Butters M, Redecke J. Long-term results of a randomized clinical trial of Shouldice. Lichtenstein and transabdominal preperitoneal hernia repairs. Br J Surg. 2007;94:562–5.

    Article  PubMed  CAS  Google Scholar 

  5. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M. EHS guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13(4):343–403.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  6. Olmi S, Scaini A, Erba L, et al. Quantification of pain in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernioplasty identifies marked differences between prosthesis fixation systems. Surgery. 2007;142(1):40–6.

    Article  PubMed  Google Scholar 

  7. Lovisetto F, Zonte S, Rota E, et al. Use of Tissucol versus staples for mesh fixation in laparoscopic transabdominal preperitoneal hernioplasty. Ann Surg. 2007;245(2):222–31.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kapiris S, et al. Laparoscopic transabdominal preperitoneal hernia repair (TAPP): stapling mesh is not mandatory. J Laparoendosc Adv Surg Tech. 2009;19:419.

    Article  Google Scholar 

  9. McCormack K. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003;(1):CD001785.

    Google Scholar 

  10. McCormack K. Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia. 2005;9:109.

    Article  PubMed  CAS  Google Scholar 

  11. Karthikesalingam A, et al. Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. Br J Surg. 2010;97:4.

    Article  PubMed  CAS  Google Scholar 

  12. Tam KW. Outcomes of staple fixation of mesh versus nonfixation in laparoscopic total extraperitoneal inguinal repair: a meta-analysis of randomized controlled trials. World J surg. 2010;34(12):3065–74.

    Article  PubMed  Google Scholar 

  13. Dedemadi G, et al. Comparison of laparoscopic and open tension-free repair of recurrent inguinal hernias: a prospective randomized study. Surg Endosc. 2006;20:1099.

    Article  PubMed  CAS  Google Scholar 

  14. Eklund A, Rudberg C. Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair. Surg Endosc. 2007;21:634–40.

    Article  PubMed  CAS  Google Scholar 

  15. Pokorny H, et al. Recurrence and complications after laparoscopic versus open inguinal hernia repair: results of a prospective randomized multicenter trial. Hernia. 2008;12:385.

    Article  PubMed  CAS  Google Scholar 

  16. Koninger J, Redecke J, Butters M. Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP. Langenbecks Arch Surg. 2004;389:361–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Juan Manuel Suárez Grau MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Grau, J.M.S., Agua, I.A.d. (2014). Laparoscopic Inguinal Hernia Repair: TAPP. In: Suárez Grau, J., Bellido Luque, J. (eds) Advances in Laparoscopy of the Abdominal Wall Hernia. Springer, London. https://doi.org/10.1007/978-1-4471-4700-8_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4700-8_5

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4699-5

  • Online ISBN: 978-1-4471-4700-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics