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Surgical Endoscopy

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Open Access 01-10-2017

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

Authors: F. Köckerling, R. Bittner, A. Kuthe, M. Hukauf, F. Mayer, R. Fortelny, C. Schug-Pass

Published in: Surgical Endoscopy | Issue 10/2017

Abstract

Introduction

The guidelines of the international hernia societies recommend laparo-endoscopic inguinal hernia repair for recurrent hernias after open primary repair. To date, no randomized trials have been conducted to compare the TEP vs TAPP outcome for recurrent inguinal hernia repair. A Swiss registry study identified only minor differences between the two techniques, thus suggesting the equivalence of the two procedures.

Materials and Methods

Between September 1, 2009 and August 31, 2013 data were entered into the Herniamed Registry on a total of 2246 patients with recurrent inguinal hernia repair following previous open primary operation in either TAPP (n = 1,464) or TEP technique (n = 782).

Results

Univariable and multivariable analysis did not find any significant difference between TEP and TAPP with regard to the intraoperative complications, complication-related reoperations, re-recurrences, pain at rest, pain on exertion, or chronic pain requiring treatment. The only difference identified was a significantly higher postoperative seroma rate after TAPP, which was influenced by the surgical technique, previous open primary operation and EHS-classification medial and responded to conservative treatment.

Conclusion

TEP and TAPP are equivalent surgical techniques for recurrent inguinal hernia repair following previous open primary operation. The choice of technique should be tailored to the surgeon’s expertise.

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Title: TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome
Authors: F. Köckerling
R. Bittner
A. Kuthe
M. Hukauf
F. Mayer
R. Fortelny
C. Schug-Pass
Publication date: 01-10-2017
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 10/2017
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-017-5416-1

ACC 2024 Congress

Springer Medicine

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

Abstract

Introduction

Materials and Methods

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Introduction

Materials and Methods

Results

Conclusion

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