Comparison of the open tension-free mesh-plug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial

Abstract

The findings show that open tension-free mesh-plug hernia repair, TAPP, and TEP are safe and effective for patients with primary unilateral inguinal hernia. Both TAPP and TEP are superior to open repair in terms of less postoperative pain and faster recovery time. The authors therefore recommend laparoscopic repair techniques as the preferable choice of surgical procedure. However, they think open repair will remain a practical solution in China because of its lower cost, short learning period, and need for no special equipment.

Lightweight versus heavyweight mesh in laparoscopic inguinal hernia repair: a meta-analysis

“…In the RCT by Schrenk et al [29], who compared TAPP and TEP inguinal hernia repairs, the authors found less early postoperative pain and a shorter hospital stay after TAPP than after TEP, but the trial was limited by small patient numbers. Conversely, Gong et al [30] found no significant difference in postoperative pain and complications between the two laparoscopic techniques, but, again, this trial was significantly underpowered. A Cochrane systematic review undertaken in 2005 concluded that there were insufficient data to draw any significant conclusions regarding superiority of one technique over the other [12].…”

“See one, do one, teach one”: inadequacies of current methods to train surgeons in hernia repair

“…The portion of these expenditures applied to recurrences and complications is not insignificant. Recurrence rates range from 24 to 43 % and 1 to 15 % for ventral [13] and inguinal [11,[14][15][16][17][18] hernia repairs, respectively. These recurrences present despite the use of mesh in 70-85 % of inguinal [19,20] and 86 % of ventral hernia repairs [7].…”

Feasibility and safety of total extraperitoneal inguinal hernia repair after previous lower abdominal surgery: a case–control study

“…Several prospective randomized trails have indicated that laparoscopic hernia repair has several advantages over the conventional open methods. The major advantages include postoperative pain reduction, a lower incidence of chronic pain, a short recovery period, improved quality of life, and earlier return to work [6][7][8][9]. The laparoscopic approach has provided magnification of the surgical field for inspection of the entire myopectineal orifice well, allowing surgeons to repair any unexpected hernias simultaneously.…”