Comparative study on Laparoscopic Transabdominal Pre-Peritoneal (TAPP) Mesh Repair and Total Extra-Peritoneal (TEP) Repair in Inguinal Hernia

Vinay, G; Balasubrahmanya, K S

doi:10.18689/mjs-1000103

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Complications like conversion to TAPP and proceed surgery without veress needle decompression among the groups showed statistically significant correlation. Rekhi et al, 15 concluded that higher incidence of post-operative complications is associated with TAPP in comparison to TEP. In contrast Reza et al, 17 reported eTEP procedure is cost effective, has minimum complication with easier learning.…”

Section: Discussionmentioning

confidence: 99%

A prospective randomized study of eTEP and TEP repair for inguinal hernia in terms of ease of operability, complication and recurrences

Singh

Kala

et al. 2022

Asian J Med Sci

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Background: Inguinal hernia is one of the diseases that has haunted humanity from its very beginning to the modern times. Groin hernias are the most common conditions referred to surgeons all over the world and over five lakh hernia repairs are performed annually. The lifetime risk for men is 27.0% and for women is 3.0%. Approximately 75.0% of all abdominal wall hernias occur in the groin. Inguinal hernias are more common on the right than on the left and are seven times more likely in males than in females. Aims and Objectives: Aim and objective of the study is to compare extended total extra peritoneal (e-TEP) and total extra peritoneal (TEP) repair in terms of complications and recurrence. To evaluate ease of operability of e-TEP and TEP for inguinal hernia repair. Materials and Methods: Patients with inguinal hernia who were hospitalized to the Department of General Surgery at GSVM Medical College, Kanpur, and who were over the age of 18 years of both sexes were studied from December 2019 to October 2021 after signing a consent form. The research procedure followed was in accordance with the approved ethical standards of GSVM Medical College, Kanpur, UP, India Ethics Committee (Human). Data were analyzed and evaluated using Statistical Package for Social Sciences, version 23 (SPSS Inc., Chicago, IL). Results for continuous variables are shown as mean ± standard deviation, whereas results for categorical variables are shown as number (percentage). For comparison of nominal data, Chi-square (χ2) test was used. The level P<0.05 was considered as the cut-off value of significance. Results: Majority of the patients of Group TEP (25 patients) had complications as Conversion to trans abdominal pre-peritoneal (TAPP) 4 (16.0%) and proceed surgery without veress needle decompression 2 (8.0%). In Group eTEP (25 patients) majority of patients had complications as proceed surgery without veress needle decompression 8 (32%) followed by Seroma 2 (8.0%). No recurrences seen in either groups. Mean operative time of eTEP was less as compared to TEP. Conclusion: With TEP, complications such as SSI, hematoma, and conversion to TAPP are more common; however with eTEP, proceed surgery without veress needle decompression and seroma. Considering the average operative time of eTEP and TEP, as well as the bigger defect size that eTEP can readily handle. For new surgeons, eTEP is a more straightforward procedure. Moreover, our study findings showed that e-TEP mesh repair of inguinal hernia showed more firm and efficacious results than TEP repair. We suggest that long-term randomized control trials with enhanced sample size and reduced confounding factors are still required to establish the absolute superiority of e-TEP over TEP.

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Section: Discussionmentioning

confidence: 99%

A prospective randomized study of eTEP and TEP repair for inguinal hernia in terms of ease of operability, complication and recurrences

Singh

Kala

et al. 2022

Asian J Med Sci

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Simultaneous treatment of inguinal hernia during a robot-assisted prostatectomy

Belousov¹,

Vasnev²,

Zingerenko³

et al. 2020

Endosk. khir.

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Inguinal Hernia Repair: Comparative Study between TEP versus Extended Totally Extraperitoneal

Kshirsagar,

Bendre,

Chavan

et al. 2024

Annals of African Medicine

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Background: Inguinal hernia repair is a common surgical procedure, with laparoscopic techniques offering advantages over open surgery. The extended Totally Extraperitoneal (eTEP) technique provides a larger working space compared to the traditional Totally Extraperitoneal (TEP) approach, potentially improving outcomes. Material and Methods: A prospective study was conducted comparing eTEP and TEP techniques for inguinal hernia repair at Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune. Forty patients (20 in each group) aged 15-65 with uncomplicated inguinal hernias were included. Surgical procedures were performed based on patient preference. Data on surgical duration, pain scores, hospital stay, and complications were collected and analyzed using statistical methods. Results: eTEP surgery had a significantly shorter mean duration (48.70 ± 7.505 minutes) compared to TEP surgery (74.20 ± 7.78 minutes; P = 0.00). Patients undergoing eTEP experienced lower mean pain scores (3.75 ± 0.55) compared to those undergoing TEP (5.15 ± 0.745; P = 0.00). Hospital stay following eTEP surgery was shorter (1.70 ± 0.657 days) than following TEP surgery (3.65 ± 1.137 days; P = 0.00). eTEP had lower incidences of hematoma and surgical emphysema but higher seroma complications. TEP surgeries were associated with more post-operative complications and a higher likelihood of requiring conversion to open surgery. Discussion: The eTEP technique offers several advantages over TEP, including shorter surgical duration, less post-operative pain, and shorter hospital stays. However, TEP had more complications related to seroma. Individual patient factors and surgeon experience should guide the choice of technique. Conclusion: The eTEP technique appears to be a promising option for inguinal hernia repair, offering advantages over TEP in terms of surgical outcomes. However, further studies are needed to evaluate long-term outcomes and complication rates comprehensively.

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Comparative study on Laparoscopic Transabdominal Pre-Peritoneal (TAPP) Mesh Repair and Total Extra-Peritoneal (TEP) Repair in Inguinal Hernia

Cited by 4 publications

References 14 publications

A prospective randomized study of eTEP and TEP repair for inguinal hernia in terms of ease of operability, complication and recurrences

A prospective randomized study of eTEP and TEP repair for inguinal hernia in terms of ease of operability, complication and recurrences

Simultaneous treatment of inguinal hernia during a robot-assisted prostatectomy

Inguinal Hernia Repair: Comparative Study between TEP versus Extended Totally Extraperitoneal

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