Transabdominal pre-peritoneal inguinal hernioplasty (TAPP) without mesh fixation. Initial experience in the short term.

Palmisano, Ezequiel Mariano; Ruiz, Manuel José Aguilar

doi:10.20960/rhh.00234

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2022

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“…• Even though experts do not fix the mesh [15], we strongly recommend fixing it to diminish migration risk. On the other hand, the mesh's excessive fixation won't prevent a recurrence if the surgical technique isn't performed correctly and will increase the risk of postoperative pain and chronic pain [16].…”

Section: Pitfalls and Pearlsmentioning

confidence: 99%

Minimally Invasive Surgery of the Groin: Inguinal Hernia Repair

Ploneda-Valencia¹,

Bautista-López²,

Navarro-Montes³

et al. 2022

The Art and Science of Abdominal Hernia

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The minimally invasive surgical technique for inguinal hernia repair (eTEP and TAPP) are gaining acceptance among surgeons worldwide. With the superior benefits of the laparoendoscopic techniques (less postoperative pain, numbness, and chronic pain, fewer complications, and faster return to normal activities), the protocolization and standardization of these approaches are essential to improve patient outcomes and reduce costs. Improved laparoscopic skills, well-selected patients, simulator training, and anatomy knowledge of the groin are the cornerstone for these approaches. We recommend starting the learning curve with the TAPP procedure, because it is easier to get familiarized with the anatomical landmarks of the pelvis and groin.

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Section: Pitfalls and Pearlsmentioning

confidence: 99%