Dé ideale operatietechniek bestaat niet, iedere techniek heeft voor- en nadelen. During TAPP procedure, the pain most likely is caused by the dissection of the parietal peritoneum. Das TAPP-Verfahren nahm zudem etwas weniger Zeit in Anspruch (59 vs. 67 min). Article  Am J Surg. Köckerling F, Bittner R, Jacob DA, Seidelmann L, Keller T, Adolf D, Kraft B, Kuthe A. Surg Endosc. Köckerling F, Koch A, Lorenz R, Reinpold W, Hukauf M, Schug-Pass C. World J Surg. Data of urinary retention and testicular atrophy were only available in one and two trials, respectively [16, 20] and no analysis was further performed. Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair. Based on the reported data, by comparing data of VAS (Visual Analogue Scales) we revealed differences in pain scores within 12 h postoperatively [13, 14, 21], in favor of TAPP procedure. Hernia. J Laparoendosc Adv Surg Tech A. 2015;29:3750–3760. Postoperative complications included testicular atrophy, urinary retention, scrotal or genital neuralgia, numbness or swelling within one month after the operation. Numbness was described in four trials and appear to be less common in patients receiving TAPP repair (P = 0.07). Due to notable differences in operative times compared with the other trials the study by Hamza et al. Manage cookies/Do not sell my data we use in the preference centre. Our meta-analysis showed that TAPP is especially associated with significantly less chronic inguinal pain in comparison with Lichtenstein repair. To our knowledge, this meta-analysis is the first in which these approaches of hernia repair are compared. Materials and methods: View and Download PowerPoint Presentations on Tep And Tapp PPT. TAPP operation demonstrated only one advantage over Lichtenstein operation with significantly less chronic inguinal pain postoperatively. Hematoma, seroma and infection arising one month after the operation were considered to be wound complications. PubMed Central  PubMed  In a large prospective study comparing 244 patients after Lichtenstein with 198 patients after laparoscopic TAPP repair, Aasvang et al. Transabdominal Preperitoneal (TAPP) and Lichtenstein operation are established methods for inguinal hernia repair in clinical practice. 1996;17:1e12. SN and OL acquired the data. Therefore, we aimed to provide a meta-analysis by including randomized controlled trials, which compared only one special laparoscopic repair (TAPP) with one open repair (Lichtenstein) technique in a predominantly homogenous subgroup of patients receiving primary hernia repair. Se requieren más estudios para definir si existe superioridad de TAPP vs 窶ｦ Cochrane Database Syst Rev . Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. Laparoscopic approach is technically more difficult and intraperitoneal conditions such as adhesions, could explain delays seen in TAPP procedures. Regarding the duration of the operation, all trials showed that the mean or medium time of operation in the TAPP group was longer than that in the Lichtenstein group. Of those 425 received TAPP repair and 411 received a Lichtenstein repair for primary inguinal hernia. Furthermore, in most studies included in our meta-analysis, both operation methods were performed by a group of surgeons making results more homogeneous. doi: 10.1007/s00464-015-4318-3. 2015;31(5):1062–6. Die TEP-Technik bei einem Leistenbruch (Leistenhernie) Bei der TEP-Technik (Totale-Transperitoneale-Plastik) wird über einen kleinen Zugang am Bauchnabel zwischen Bauchfell und Bauchdeckenschicht mit Hilfe von CO2-Gas-Einbringung ein Arbeitsraum geschaffen. 2010;97:4–11. Google ScholarÂ. 2005 Jan 25. Complications were infrequent in both groups. Previous sub-population meta-analyses showed a significant shorter convalescence period after endoscopic repair [2, 3]. Commentary on Transabdominal Preperitoneal (TAPP) vs. Br J Surg. Although, previous studies comparing endoscopic techniques (TAPP and TEP) with open, tension-free operations, revealed significantly lower incidence of wound infection and hematoma together with higher incidence of seromas after endoscopic repair [1, 3], our meta-analysis shows no similar differences. Part of Control Clin Trials. 2004;350(18):1819–27. Hier wird das Netz nach Eröffnen des Bauchfells vor dieses, also präperitoneal auf die Bruchpforte platziert. Surg Endosc. Köninger J, Redecke J, Butters M. Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP. The recurrence rate--especially in endoscopic repairs--depends on the experience of the surgeon [1, 7, 28, 29]. Int J Surg. 1999;23(10):1004–7. Br J Surg. 1998;317(7151):103–10. Single-incision totally extraperitoneal hernia repair with intraperitoneal inspection of strangulated femoral hernia at risk for intestinal ischemia after repositioning: a case report. To date, no randomized trials have been conducted to compare the TEP vs TAPP outcome for recurrent inguinal hernia repair. Please see our guide on TAPP vs bottled water, and how TAPP 2 differs from other water filters What are the dimensions of the filter? International guidelines for groin hernia management. Program 456 Investigators. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.