TAPP versus TEP

Czechowski, A.; Schafmayer, A.

doi:10.1007/s00104-003-0738-z

Cited by 23 publications

(8 citation statements)

References 23 publications

(51 reference statements)

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“… 67 , 210 – 213 , 216 , 218 , 226 – 234 Some of the studies employed overly small meshes (< 10 × 15 cm) or mesh of different size for TAPP and TEP. 219 , 221 , 223 – 226 , 229 Finally, follow-up duration differed for the TAPP and TEP groups (24–42.5 vs 9–28.8 months). 210 , 211 , 215 – 218 , 226 , 227 , 233 , 235 , 236 …”

Section: Surgical Treatment Of Inguinal Herniasmentioning

confidence: 98%

“…In 22 comparisons, TAPP operative times varied from 34.5 to 104.5 min (median of 57 min) and TEP operative times varied from 32.5 to 110 min (median of 62.3 min). 207 , 209 – 214 , 216 , 217 , 219 , 223 – 226 , 229 , 231 , 232 , 234 – 238 …”

Section: Surgical Treatment Of Inguinal Herniasmentioning

confidence: 99%

“…In 24 comparisons, TAPP complication rates ranged from 1.23 to 49% (median of 11.4%) and TEP complication rates ranged from 1.3 to 50.3% (median 12.5%). 207 , 209 – 214 , 216 – 219 , 221 , 222 , 224 – 227 , 229 , 231 – 237 , 239 One registry study reported a lower complication rate for TAPP, 207 while another for TEP. 209 …”

Section: Surgical Treatment Of Inguinal Herniasmentioning

confidence: 99%

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International guidelines for groin hernia management

Simons¹,

Śmietański²,

Bonjer³

et al. 2018

Hernia

1,460

712

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IntroductionWorldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery.MethodsAn expert group of international surgeons (the HerniaSurge Group) and one anesthesiologist pain expert was formed. The group consisted of members from all continents with specific experience in hernia-related research. Care was taken to include surgeons who perform different types of repair and had preferably performed research on groin hernia surgery. During the Group’s first meeting, evidence-based medicine (EBM) training occurred and 166 key questions (KQ) were formulated. EBM rules were followed in complete literature searches (including a complete search by The Dutch Cochrane database) to January 1, 2015 and to July 1, 2015 for level 1 publications. The articles were scored by teams of two or three according to Oxford, SIGN and Grade methodologies. During five 2-day meetings, results were discussed with the working group members leading to 136 statements and 88 recommendations. Recommendations were graded as “strong” (recommendations) or “weak” (suggestions) and by consensus in some cases upgraded. In the Results and summary section below, the term “should” refers to a recommendation. The AGREE II instrument was used to validate the guidelines. An external review was performed by three international experts. They recommended the guidelines with high scores.Results and summaryThe risk factors for inguinal hernia (IH) include: family history, previous contra-lateral hernia, male gender, age, abnormal collagen metabolism, prostatectomy, and low body mass index. Peri-operative risk factors for recurrence include poor surgical techniques, low surgical volumes, surgical inexperience and local anesthesia. These should be considered when treating IH patients. IH diagnosis can be confirmed by physical examination alone in the vast majority of patients with appropriate signs and symptoms. Rarely, ultrasound is necessary. Less commonly still, a dynamic MRI or CT scan or herniography may be needed. The EHS classification system is suggested to stratify IH patients for tailored treatment, research and audit. Symptomatic groin hernias should be treated surgically. Asymptomatic or minimally symptomatic male IH patients may be managed with “watchful waiting” since their risk of hernia-related emergencies is low. The majority of these individuals will eventually require surgery; therefore, surgical risks and the watchful waiting strategy should be discussed with patients. Surgical treatment s...

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Section: Surgical Treatment Of Inguinal Herniasmentioning

confidence: 98%

Section: Surgical Treatment Of Inguinal Herniasmentioning

confidence: 99%

Section: Surgical Treatment Of Inguinal Herniasmentioning

confidence: 99%

See 1 more Smart Citation

International guidelines for groin hernia management

Simons¹,

Śmietański²,

Bonjer³

et al. 2018

Hernia

1,460

712

View full text Add to dashboard Cite

show abstract

“…Czechowski and Schafmayer [11] reported that the five-year recurrence rates of the trasnperitoneal preperitoneal and TEP approaches were 2.3 and 1.5%, respectively; that their re-recurrence rates were 6.7 and 4.8%, respectively; and that the mean times elapsed from the surgery to the recurrence were 45 and 36.6 months, respectively. Scheurlein et al [12] conducted laparoscopic TEP hernia repair on 179 patients with recurrent inguinal hernia and reported a 0.4% recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

Clinical usefulness of laparoscopic total extraperitoneal hernia repair for recurrent inguinal hernia

et al. 2011

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PurposeHernia repair after recurrence is a challenging procedure, and many approaches have been suggested for it. Total extraperitoneal (TEP) hernia repair should be considered in recurrent hernia. This study was conducted for the purpose of investigating the clinical usefulness of laparoscopic TEP hernia repair for recurrent inguinal hernia.MethodsAmong the 191 patients who underwent TEP hernia repair at these authors' center from June 2006 to January 2010, the bilateral-hernia cases and the patients with a history of previous pelvic surgery were excluded. A total of 19 patients (12.5%) were enrolled in the recurrent-inguinal-hernia group (group R), and 133 patients (87.5%) in the primary-hernia group (group P). Data were investigated retrospectively, based on the medical records.ResultsThe mean operation time was 97 minutes in group R and 99 minutes in group P (>0.05). In group R, no operation modality change occurred, and temporary urinary retention was developed in four patients (21.1%). In group P, on the other hand, operation modality change from TEP to the transabdominal preperitoneal approach was necessary in four patients (3%). Additionally, in group P, 30 patients (22.6%) had temporary urinary retention and six (4.5%) had testicular edema. No recurrence was identified during the follow-up period in both groups (mean follow-up period: 15.8 months for group R and 18.0 months for group P).ConclusionLaparoscopic TEP hernia repair seems to be a safe and useful method for correcting recurrent inguinal hernia.

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“…transabdominale präperitoneale Hernienplastik (TAPP; [23]) durchgeführt. Die TAPP gilt heu te als effizientes und komplikations armes Operationsverfahren mit Re zidivquoten von unter 2% [4,5]. Im Klinikum Lünen wurden inzwischen über 3000 Hernien durch TAPP ver sorgt.…”

Section: Optimierung Des Perioperativen Manage Ments Am Beispiel Der unclassified

Optimierung des perioperativen Managements am Beispiel der laparoskopischen Leistenbruchoperation

et al. 2008

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This study demonstrates that the length of stay after laparoscopic hernia repair can be reduced by one day by relatively simple means without affecting patient satisfaction or the complication rate. Most important is the introduction of clear-cut criteria that allow an early decision-making for discharge home. Moreover, many patients complain of constipation after laparoscopic surgery, and this may prolong the length of stay. This problem can be solved completely by the standardized use of sodium picosulfate, administered on the evening after surgery.

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TAPP versus TEP

Abstract: TAPP and TEP are both safe and efficient. Because of the late occurrence of recurrence we suggest randomized prospective studies over a period of 5-10 postoperative years.

Cited by 23 publications

References 23 publications

International guidelines for groin hernia management

International guidelines for groin hernia management

Clinical usefulness of laparoscopic total extraperitoneal hernia repair for recurrent inguinal hernia

Optimierung des perioperativen Managements am Beispiel der laparoskopischen Leistenbruchoperation

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