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Laparoscopic Inguinal Hernia Repair: TAPP versus TEP

Girish Bakhshi, MS, Jasmine Agarwal, Ajay Bhandarwar, MS, Amol Wagh, MS, Saurabh Gandhi, MS, Gagandeep Talwar. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India

Objective: Inguinal hernia repair is the most frequently performed operation in general surgery. The surgical technique has evolved significantly over the past few decades. The aim of this study was to compare the results of laparoscopic inguinal hernia repair using two commonly used methods: transabdominal preperitoneal (TAPP) repair and the totally extraperitoneal repair (TEP).

Methods: This is a retrospective study comparing the laparoscopic approach for inguinal hernia repair through transabdominal preperitoneal approach versus the totally extraperitoneal technique. 237 cases were included in this study who were electively operated from May 2012 to April 2017. The outcomes compared were intraoperative and postoperative course and complications.

Laparoscopic TAPP and TEP repair was done conforming to the standard procedural guidelines using three trocars and a 14×10 cm polypropylene mesh, anchored at the level of Cooper’s ligament and to the anterior abdominal wall muscles using permanent tacks. The peritoneal opening in TAPP was closed using absorbable polyglactin suture.

Intra- and postoperative complications:

Duration of operation and Length of stay:

Conclusion: Laparoscopic approach for inguinal hernia repair is a safe and viable option with TEP repair having a slight edge over TAPP repair, subject to the expertise and comfort of the surgeon with the procedure. The two procedures differed only in their minor complication rates and the duration of operation. No recurrences have occurred in 165 patients in the 2-year follow-up period.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87278

Program Number: P047

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

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