Low Recurrence Rate After Laparoscopic (TEP) and Open (Lichtenstein) Inguinal Hernia Repair

Abstract

The recurrence rate for both TEP and Lichtenstein repair was low. A higher cumulative recurrence rate in the TEP group was seen at 5 years. Further analysis revealed that this could be attributable to incorrect surgical technique.

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

“…This finding is consistent with several studies [6][7][8][9]. Although some previous studies [4,10] showed that recurrence rates were higher among patients whose hernias were repaired by the laparoscopic technique, our study did not find such evidence.…”

A pilot study for one-stop endoscopic total extraperitoneal inguinal hernia repair

“…When performed by experienced surgeons, endoscopic inguinal hernia repair effectively reduces postoperative and chronic pain, is accompanied by fewer wound complications, and allows a shorter recovery time. Also, the recurrence rates for inguinal hernia are comparable with those for open techniques [3][4][5][6][7][8][9].…”

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

“…Increasing evidence has supported laparoscopic procedure as the ''gold standard'' treatment of choice in many surgical fields, especially for nonmalignant indications such as inguinal hernia repair [3,4]. At the beginning of the 1990s, laparoscopic hernia repair, including TEP and TAPP procedures, was controversial because the early recurrence rate was high [5].…”