Laparoscopic Hernia Repair: Tapp Versus Tep. A Single Centre Experience

Summary Surgery for inguinal hernia is currently the most common surgical procedure worldwide, and every year over 20 million patients undergo open or laparoscopic repair. Two generally accepted endoscopic approaches are transabdominal preperitoneal (TAPP) total extraperitoneal (TEP). For nine years (2010 – 2018), 48 with had repair (TAPP TEP) at Villarobledo General Hospital. Forty-three (89.6%)) were male, five (10.4%) female. Of these, ten right (RIH), 18 - left (LIH), 12 bilateral (BIH), 6 recurrent unilateral (RUIH), 2 (RBIH). In 33 (68.7%), was performed. Total (TEP) performed on 15 (12%). 8 (16.6%), simultaneous procedures performed: umbilical hernioplasty in 4 (8.3%) cholecystectomy patients. There no conversions any of procedures. The average operative time 77 minutes. Twenty-six underwent one-day surgery, hospital one day, four discharged second postoperative day following surgery. 7 (14%), recurrences occurred: first 1 patient; after surgery 3 patients; third sixth patient. recurrence rate TAPP (6%) versus 5 TEP (33%), Chi-squared=5.91 (p=0.015). patient, perforation bladder occurred managed conservatively using a urethral catheter drainage. considerable discrepancy rates. Such probably due to higher complexity technique required supervising experienced surgeons during learning curve.