A comparative study of transabdominal preperitoneal (TAPP) verses totally extra-peritoneal (TEP) Mesh repair of inguinal hernia

Jeelani, Shazia; Ahmad, Muhammad Bilal; Dar, Hanief Mohamed; Abass, Malik Faizan; Mushtaq, Azhar; Ali, Ubaid

doi:10.5455/amr.20150403124300

Cited by 11 publications

(26 citation statements)

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“…The most recent meta-analysis for comparison of TEP with TAPP by Chen [49] with 1519 randomized patients included six further RCTs by Ciftci [57], Mesci [58], Sharma [59], Günal [60], Bansal [61] and Jeelani [62]. But five of these six additional RCTs included women, recurrences or bilateral inguinal hernias [57-59, 61, 62] and therefore had to be excluded from the present analysis.…”

Section: Comparison Of Tep Vs Tapp In Meta-analyses and Rctsmentioning

confidence: 99%

TEP for elective primary unilateral inguinal hernia repair in men: what do we know?

Köckerling

2019

Hernia

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Introduction Based on the new international guidelines for groin hernia management, there is no one surgical technique that is suited to all patient characteristics and diagnostic findings. Therefore, a tailored approach should be used. Here, a distinction must be made between primary unilateral inguinal hernia in men and in women, bilateral inguinal hernia, scrotal inguinal hernia, inguinal hernia following pelvic and lower abdominal procedures, patients with severe cardiopulmonary complications, recurrent inguinal hernias and incarcerated inguinal and femoral hernias. This paper now explores the relevant studies on TEP for elective primary unilateral inguinal hernia in men, which constitutes the most common indication for repair. Material A systematic search of the available literature was performed in February 2019 using Medline, PubMed, Scopus, Embase, Springer Link and the Cochrane Library. Only meta-analyses, systematic reviews, RCTs and comparative registry studies were considered. 117 publications were identified as relevant. Results RCTs and comparative registry analyses demonstrated the advantages of TEP with regard to postoperative complications, complication-related reoperations, and postoperative and chronic pain compared with Lichtenstein repair for elective primary unilateral inguinal hernia repair in men. No relevant differences were found compared with TAPP. Mesh fixation is not needed in TEP, but heavyweight meshes result in a lower recurrence rate. Extraperitoneal bupivacaine analgesia vs placebo does not demonstrate any advantages, but drainage is advantageous for seroma prophylaxis. The risk of chronic pain is negatively influenced by small defects, younger patient age, preoperative pain, higher BMI, postoperative complications, higher ASA score and risk factors. Conclusion For the subgroup of elective primary unilateral inguinal hernia in men, accounting for a proportion of less than 50% of the total collective, advantages were identified for TEP compared with open Lichtenstein repair but not versus TAPP.

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Section: Comparison Of Tep Vs Tapp In Meta-analyses and Rctsmentioning

confidence: 99%

TEP for elective primary unilateral inguinal hernia repair in men: what do we know?

Köckerling

2019

Hernia

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“…Along with increasing popularity, considerable researches were performed focusing on efficacy and successful rate to determine the advantage between TEP and TAPP. Most previous studies on this topic claimed no significant difference in outcome (3,4,(11)(12)(13)(14)(15)(16). Two recent syntheses confirmed similar recurrence rates between the two laparoscopic herniorrhaphy approaches (17,18).…”

Section: Introductionmentioning

confidence: 94%

“…Their results about recurrence were low heterogeneity (I-square =0%). When TEP and TAPP showed comparable success rate with non-significant difference in recurrence rate (3,4,(11)(12)(13)(14)(15)(16)18), safety and complications of each technique might provide decisive information on choice of technique.…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, complication rate after laparoscopic herniorrhaphy is about 10% (19), and no overview on complications between TEP and TAPP has been appropriately synthesized in previous systematic reviews and meta-analyses (16)(17)(18). In fact, several trials were performed to identify complication rates of TEP versus TAPP (5)(6)(7)(8)(9)(10)(11)(12)14,(20)(21)(22)(23)(24). They reported common intraoperative and postoperative complications including seroma, edema, hematoma, vascular injury, nerve injury, urinary retention, and wound infection.…”

Section: Introductionmentioning

confidence: 99%

“…The other one similarly declared that TEP and TAPP seem comparable in term of hematoma, seroma, infectious complications, and urinary retention in short-term, but the authors also mentioned that their synthesis showed moderate-to-very low confidence, essentially due to study limitation, imprecision, and inconsistence (17). The two syntheses did not give reasons for excluding some important RCTs though they were the best evidence on safety of TEP and TAPP for herniorrhaphy now (3,5,11,14,22,23). Thus, safety between the two laparoscopic herniorrhaphy approaches is still controversial though there were two syntheses making meta-analysis on relevant outcomes (16,17).…”

Section: Introductionmentioning

confidence: 99%

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Safety of two common laparoscopic inguinal herniorrhaphy approaches: an updated systematic review with meta-analysis of randomized clinical trials

Hung¹,

Wu²,

Chen³

et al. 2020

Transl Androl Urol

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Background: Previous evidence indicated that total extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) are advantageous in efficacy of inguinal herniorrhaphy. Therefore, our aim in this study was to evaluate the association of the two laparoscopic approaches on safety of inguinal herniorrhaphy.Methods: In this update study, we searched the Cochrane Library, EMBASE, PubMed, Scopus, and Web of Science and identified randomized clinical trials comparing complications in TEP and TAPP herniorrhaphy.We mainly used Peto odds ratio with 95% confidence interval (CI) for meta-analysis because of zero-cell.Results: Fourteen eligible trials recruited 659 and 682 patients in TEP and TAPP respectively. In overall pooling, although TEP had a higher seroma rate than TAPP (Peto odds ratio =2.01; 95% CI, 1.39 to 2.91), it had a lower scrotal/cord edema rates at immediate postoperative (Peto odds ratio =0.22; 95% CI, 0.09 to 0.57) and 1 week after inguinal hernia repair (Peto odds ratio =0.58; 95% CI, 0.37 to 0.91) than TAPP.Conclusions: TEP and TAPP have their own advantages in inguinal herniorrhaphy. TAPP was associated with a lower seroma rate, and TEP was associated with a lower edema rate. Therefore, shared decisionmaking on laparoscopic inguinal herniorrhaphy with TEP and TAPP is still needed.

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Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair

Andresen,

Rosenberg

2024

Cochrane Database of Systematic Reviews

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A comparative study of transabdominal preperitoneal (TAPP) verses totally extra-peritoneal (TEP) Mesh repair of inguinal hernia

Cited by 11 publications

References 0 publications

TEP for elective primary unilateral inguinal hernia repair in men: what do we know?

TEP for elective primary unilateral inguinal hernia repair in men: what do we know?

Safety of two common laparoscopic inguinal herniorrhaphy approaches: an updated systematic review with meta-analysis of randomized clinical trials

Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair

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