Laparoscopic hernioplasty. TAPP vs TEP.

摘要: This study compares the results of two laparoscopic hernioplasties: transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP). Over a 43-month period 1,115 hernioplasties, 733 TAPP 382 TEP, were performed in 866 patients. There 11 major complications group (2 recurrences, 6 trocar hernias, 1 small-bowel obstruction, trocar, dissection injury small bowel) compared to recurrence no intraperitoneal TEP group. Five procedures required conversion approach, resulting one umbilical hernia. The median time return work did not vary with but was prolonged patients compensated for off, 16 vs 8 days noncompensated Results suggested that both techniques shortened recovery eliminated most early failures, approach reduced potential may be procedure choice situations.