Laparoscopic inguinal hernia repair TEP versus TAPP

Abstract

Background: The main mechanism for the development of abdominal wall hernia is the lack of structural integrity in the musculotendine layer. The precise cause of inguinal hernia is unclear, but its causes include pre-formed congenital sac, persistent passive intra-abdominal pressure increase and thin abdominal walls. Objective: The objective of this analysis is to equate laparoscopic hernioplanest findings with pre-peritoneal transabdominal (TAPP) vs Totally Extraperitoneal (TEP) as techniques for inguinal hernia repair. Methods and patients: 50 patients have been included in our sample, split into two categories, 25 for each. Group A; underwent a laparoscopic pre-peritoneal transabdominal (TAPP) mesh repair, group B; underwent a total mesh repair laparoscopic extra-peritoneal (TEP). Patient follow-up was conducted at the Benha University Hospitals out-patient clinic 7 days after release at 3 and 6 months after surgery between August 2019 and August 2020. Results: Both classes have been contrasted in terms of surgical procedure, duration, intraoperative symptoms, early postoperative pain within a week, hospital stay, physical exercise limitation and recurrence and chronic pain occurrence. Conclusion: The interpretation of findings showed that the TEP fix proved in the first few hours to be technically harder as shown by increased operating time and postoperational discomfort. It needs a lengthy learning curve and a committed technical excellence team. However, it is preferable that fewer wound-related symptoms, shorter hospitalisation and a faster return to daily life are involved.