title: Transabdominal pre-peritoneal mesh in inguinal hernia repair in elderly: end point of our experience.
abstract: BACKGROUND
  Aim of this study is to present our standardized laparoscopic transabdominal preperitoneal hernia repair (TAPP) technique, and to study our experience in the elderly as far as concerns preoperative and postoperative variables.
  
  
  METHODS
  We described our standardized TAPP technique according with Stuttgart technique 1, and we evalutated our team's experience in TAPP inguinal hernia repair in elderly (> 65 yrs) and in young patients (< 65 yrs).
  
  
  RESULTS
  We retrospectively reviewed our Surgery Division's experience about TAPP; we included in our study 185 patients. The sample was subdivided in two groups: TAPP Group (< 65 years patients) and TAPPe Group (> 65 years patients). TAPP Group was composed by 154 patients and TAPPe Group of 31 patients. According with literature, in this subgroup recurrence rate (3,2%), early and delayed complications and mean operative time (86 min). There were no major vascular or intestinal complications. At the moment follow-up is 31 months. There were no incisional hernias on umbilical trocar. Mean satisfaction rate was excellent also in elderly patients.
  
  
  CONCLUSIONS
  According with literature, in our experience TAPP technique is a safe and feasible procedure, even in elderly patients.
authors.forename: Alessia M D G
authors.initials: AM
authors.lastname: Ferrarese
authors.forename: Stefano
authors.initials: S
authors.lastname: Enrico
authors.forename: Mario
authors.initials: M
authors.lastname: Solej
authors.forename: Alessandro
authors.initials: A
authors.lastname: Falcone
authors.forename: Silvia
authors.initials: S
authors.lastname: Catalano
authors.forename: Enrico
authors.initials: E
authors.lastname: Gibin
authors.forename: Silvia
authors.initials: S
authors.lastname: Marola
authors.forename: Alessandra
authors.initials: A
authors.lastname: Surace
authors.forename: Valter
authors.initials: V
authors.lastname: Martino
mesh_terms: D000005:Abdomen; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010537:Peritoneum; D012189:Retrospective Studies; D013526:Surgical Mesh