Skip to main content

Laparoscopic TAPP Inguinal Hernia Repair

  • Chapter
  • First Online:
Hernia Surgery

Abstract

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.

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 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
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. 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.

    Chapter  Google Scholar 

  2. Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, et al. Surg Endosc. 2011;25(9):2773–843.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  4. Cavazzola LT, Rosen MJ. Surg Clin N Am. 2013;93:1269–79.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  9. Cobb WS, Kercher KW, Heniford BT. The argument for lightweight polypropylene mesh in hernia repair. Surg Innov. 2005;12(1):63–9.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  12. Drake RL, Vogl AW, Mitchell AWM. Gray’s Anatomy for Students. Philadelphia: Churchill-Livingstone; 2004. p. 258–65.

    Google Scholar 

  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. Spaw AT, Ennis BW, Spaw LP. Laparoscopic hernia repair: the anatomic basis. J Laparoendosc Surg. 1991;1(5):269–77.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Richards SK, Vipond MN, Earnshaw JJ. Review of the management of recurrent inguinal hernia. Hernia. 2004;8(2):144–8.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sergio Roll M.D., Ph.D. .

Editor information

Editors and Affiliations

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

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

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

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

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Roll, S., Skinovsky, J. (2016). Laparoscopic TAPP Inguinal Hernia Repair. In: Novitsky, Y. (eds) Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-27470-6_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27470-6_43

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27468-3

  • Online ISBN: 978-3-319-27470-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics