title: [Evidence-based TEP technique].
abstract: The guidelines of all international hernia societies recommend as procedures of choice the laparoendoscopic techniques total extraperitoneal patch plasty (TEP) and transabdominal preperitoneal patch plasty (TAPP) as well as the open Lichtenstein operation for elective inguinal hernia repair. The learning curve associated with the laparoendoscopic techniques, in particular TEP, is longer than that for the open Lichtenstein technique due to the complexity of the procedures. Accordingly, for laparoendoscopic techniques it is particularly important that the operations are conducted in a standardized manner in compliance with the evidence-based recommendations given for the technical details. When procedures are carried out in strict compliance with the guidelines of the international hernia societies, low rates of perioperative complications, complication-related reoperations, recurrences and chronic pain can be expected for TEP. Compliance with the guidelines can also positively impact mastery of the learning curve for TEP. The technical guidelines on TEP are based on study results and on the experiences of numerous experts; therefore, it is imperative that they are implemented in routine surgical practice.
authors.affiliation: Klinik für Chirurgie - Viszeral- und Gefäßchirurgie, Zentrum für Minimal Invasive Chirurgie, Zertifiziertes Zentrum für Hernienchirurgie, Zertifiziertes Zentrum für Adipositaschirurgie, Vivantes Klinikum Spandau, Neue Bergstraße 6, 13585, Berlin, Deutschland. ferdinand.koeckerling@vivantes.de.
authors.forename: F
authors.initials: F
authors.lastname: Köckerling
mesh_terms: D000008:Abdominal Neoplasms / Q000601:surgery; D019317:Evidence-Based Medicine / Q000193:education / Q000379:methods*; D019983:Guideline Adherence; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000193:education / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000193:education / Q000295:instrumentation / Q000379:methods*; D059032:Learning Curve; D008067:Lipoma / Q000601:surgery; D056888:Patient Positioning / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D013525:Surgical Instruments
keywords: Complications; Endoscopy; Guidelines; Inguinal hernia; Learning curve