>Year 2005, Issue 4
López CJA, Guzmán CF, Jaramillo TEJ, Covarrubias HMA
Inguinal repair with laparoscopic approach TAPP vs TEP
Cir Gen 2005; 27 (4)
PDF: 4. Kb.
Objective:To show the experience gained in laparoscopic surgery for the treatment of inguinal hernia, as well as the advantages and disadvantages of the TAPP and TEP techniques, comparing the initial period or learning curve stage with the consolidation stage in performing the technique.
Setting:Minimally Invasive Training Center, Regional Hospital No. 1, IMSS, Tijuana, B.C.
Design:Retrospective, transversal, descriptive, comparative study.
Patients and methods:Patients subjected to inguinal hernia repair with laparoscopic approach, divided in two groups: Group A corresponds to the initial period or learning stage and group B to the consolidation stage. Analyzed variables were: age, gender, affected side, primary or recurrent hernia, type of hernia, morbidity (seroma, infection at the site of surgery), nervous injury, vascular injury, re-intervention or conversion to open technique, recurrence, and mortality. We compared morbidity and recurrence between both groups and between TAPP and TEP.
Results:In group A, 1,000 patients were operated, 58% using TAPP and 42% with TEP, morbidity was of 8.5%, and recurrence of 1.5%. In group B, 184 patients were operated, 55.4% with TAPP and 44.5% with TEP, morbidity was of 3.7%, and recurrence of 0% until now. General morbidity χ2 = 7.38 (p ‹ 0.01) No differences existed between TAPP and TEP (p › 0.05).
Conclusions:The surgeon’s experience does decrease the general morbidity in the laparoscopic approach for the treatment of inguinal hernia; there are no differences in either morbidity or recurrence between the TAPP and TEP approaching techniques.
||Inguinal hernia, hernioplasty, TAPP, TEP, complications.
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>Year 2005, Issue 4