Evidence - Inguinal hernia repair, transabdominal preperitoneal hernioplasty (TAPP)

The surgical treatment of an inguinal hernia (unilateral or bilateral) using the TAPP technique offers the following differences compared to the open Lichtenstein technique in adults:

• slightly lower recurrence rates
• usually a somewhat longer operation time
• probably similar postoperative pain, but slightly less frequent chronic pain
• faster recovery
• usually higher hospital costs, but probably lower overall economic costs

Compared to the Shouldice operation, the following effects have been demonstrated:

• slightly fewer hernia recurrences
• usually a somewhat longer operation time
• slightly less postoperative pain
• faster recovery
• slightly fewer nerve injuries and chronic pain

Compared to the total extraperitoneal technique (TEP), the TAPP allows according to current data:

• slightly shorter operation times
• similar recurrence rates and pain intensities

Regarding mesh fixation with staples compared to no fixation, a study in TAPP found:

• similar recurrence rates
• similar rates of chronic pain

The use of local anesthetic in laparoscopic inguinal hernia repair: a randomized clinical trial

QOL in Incarcerated Inguinal Hernias: TAPP Vs Open Repair

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