Laparoscopic hernia repair--TAPP or/and TEP?
BACKGROUND
Of various endoscopic hernia repair procedures, TAPP and TEP have been selected for routine use.


METHODS
Results from Medline research were analysed.


RESULTS
There is a similar risk for postoperative morbidity for both techniques. The recurrence rate in large single-centre series is between 0% and 3.4%. There were numerous indications for both procedures, whereby a transperitoneal TAPP can also be applied in cases of previous preperitoneal operations.


CONCLUSIONS
Randomised trials comparing both methods of hernia repair are lacking. Seven non-randomised studies showed no differences in recurrence rate and morbidity. In general the learning curve for is shorter in favour of TAPP repair.
Leibl
B J
BJ
Department for General and Visceral Surgery, Marien Hospital, Stuttgart, Germany. bernhard.liebl@klinikum-coburg.de
Jäger
C
C
Kraft
B
B
Kraft
K
K
Schwarz
J
J
Ulrich
M
M
Bittner
R
R
D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012008:Recurrence; D016896:Treatment Outcome