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A comparative study of transabdominal preperitoneal (TAPP) verses totally extra-peritoneal (TEP) Mesh repair of inguinal hernia

Shaukat Jeelani, Malik Suhail Ahmad, Hanief Mohamed Dar, Malik Faizan Abass, Azhar Mushtaq, Ubaid Ali.

Abstract
Background: Transabdominal preperitoneal (TAPP) and totally extra-peritoneal (TEP) mesh repair are two common procedures which are now a days commonly performed during laparoscopic approaches for inguinal hernias. This randomized prospective study was aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms various outcomes. Methods: Patients were randomly picked and 30 (50%) were operated by laparoscopic TAPP hernioplasty and the 30 (50%) by laparoscopic TEP hernioplasty. Results: Both TEP and TAPP mesh repair techniques were comparable in terms of operative time, intraoperative complications, conversion to open, post-operative pain, time to resume normal activity and recurrence. Duration of hospital stay was significantly more in TAPP group than TEP group. Conclusion; Laparoscopic repair of inguinal hernias is associated comparable results in both techniques, TAPP and TEPP and choice between TAPP and TEPP is a personal choice of concerned surgeon.

Key words: Transabdominal preperitoneal repair; Totally extra-peritoneal mesh repair; Hernioplasty; Postoperative pain; Inguinal hernia



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