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Laparoscopic hernia repair—TAPP or/and TEP?

  • Current Concepts in Clinical Surgery
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Abstract

Background

Of various endoscopic hernia repair procedures, TAPP and TEP have been selected for routine use.

Methods

Results from Medline research were analysed.

Results

There is a similar risk for postoperative morbidity for both techniques. The recurrence rate in large single-centre series is between 0% and 3.4%. There were numerous indications for both procedures, whereby a transperitoneal TAPP can also be applied in cases of previous preperitoneal operations.

Conclusion

Randomised trials comparing both methods of hernia repair are lacking. Seven non-randomised studies showed no differences in recurrence rate and morbidity. In general the learning curve for is shorter in favour of TAPP repair.

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Authors and Affiliations

  1. Department for General and Visceral Surgery, Marien Hospital, Stuttgart, Germany

    B. J. Leibl, C. Jäger, B. Kraft, K. Kraft, J. Schwarz, M. Ulrich & R. Bittner

  2. Chirurgie I, Klinikum Coburg, Ketschendorferstrasse 33, 96450, Coburg, Germany

    B. J. Leibl

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  1. B. J. Leibl
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  2. C. Jäger
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  3. B. Kraft
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  6. M. Ulrich
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  7. R. Bittner
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Correspondence to B. J. Leibl.

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Leibl, B.J., Jäger, C., Kraft, B. et al. Laparoscopic hernia repair—TAPP or/and TEP?. Langenbecks Arch Surg 390, 77–82 (2005). https://doi.org/10.1007/s00423-004-0532-5

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  • DOI: https://doi.org/10.1007/s00423-004-0532-5

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