Outcomes of Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Narrative Review TAPP
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Abstract
This narrative review evaluates the results of transabdominal preperitoneal (TAPP) inguinal
hernia repair, focusing on a comprehensive analysis of postoperative complications, morbidity,
and mortality rates. An extensive literature review was conducted, which included 30 studies
involving more than 4,200 patients. The overall complication rate was discovered to be 8.5%,
with specific complications such as chronic pain (3. 5%), seroma formation (2. 1%) and recurrence
(1. 5%). The mortality rate associated with TAPP was found to be less than 0.1%. Using statistical
analyzes, including Egger’s test for assessing publication bias, revealed no significant bias (p-value
= 0.58). Although the findings posit TAPP as a safe and effective repair method, ongoing research
is essential to refine techniques and improve patient outcomes.
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References
McCormack K, Scott NW, Go PM, Ross SJ, Grant A, Collaboration EHT. Laparoscopic tech-
niques versus open techniques for inguinal hernia repair. Cochrane Database of Systematic
Reviews. 2003;2003(1):CD001785.
Nienhuijs S, van der Heijden G, van der Graaf Y, van der Wilt G, van der Horst C, van der Laan
L, et al. The effect of laparoscopic inguinal hernia repair on postoperative complications: A
systematic review of randomized controlled trials. Hernia. 2020;24(3):451-9.
McKay T, McCormack K, McGinn J, et al. Management of seromas following inguinal hernia
repair: An evidence-based review. Hernia. 2020;24(5):913-20.
Kairaluoma PM, et al. Open versus laparoscopic inguinal hernia repair: A meta-analysis of
randomized controlled trials. Surgical Endoscopy. 2021;35(7):3684-90.
LeBlanc K, et al. Hematomas in laparoscopic hernia repair: A review of the current data.
Journal of Laparoendoscopic Advanced Surgical Techniques. 2019;29(1):1-7.
Haskins I, et al. Urinary retention following laparoscopic surgery: A review and analysis of
risk factors. Hernia. 2021;25(2):319-28.
Alharbi A, et al. Rates and predictors of conversion from laparoscopic to open surgery in
inguinal hernia repairs: A systematic review. Surgical Endoscopy. 2022;36(7):5190-9.
Kiyokawa T, et al. Laparoscopic hernia repair: safety and efficacy. Surgical Clinics of North
America. 2020;100(5):1025-41.
Włodarczyk J, et al. How long should we follow up after laparoscopic inguinal hernia repair?
Recommendations from a large cohort study. Hernia. 2022;26(3):663-70.
Egger M, et al. Bias in meta-analysis detected by a simple, graphical test. BMJ.
;315(7109):629-34.
Correia de Sá T, et al. Transabdominal preperitoneal (TAPP) repair for emergency groin
hernia: a systematic review. Hernia. 2024;28(4):1005-15. Available from: https://doi.org/10.
/s10029-024-03018-8.
Bittner R. Die evidenzbasierte TAPP-Technik [Evidence-based TAPP technique]. Chirurg.
;88(4):281-7. Available from: https://doi.org/10.1007/s00104-017-0387-2.
Ahmad S, et al. Early Outcomes of Laparoscopic Transabdominal Preperitoneal (TAPP) Repair.
Cureus. 2023;15(2):e35567. Available from: https://doi.org/10.7759/cureus.35567.
Peitsch WK. A modified laparoscopic hernioplasty (TAPP) is the standard procedure
for inguinal and femoral hernias: a retrospective 17-year analysis with 1,123 hernia re-
pairs. Surgical Endoscopy. 2014;28(2):671-82. Available from: https://doi.org/10.1007/
s00464-013-3208-9.
McCormack K, et al. Laparoscopic surgery for inguinal hernia repair: systematic review of
effectiveness and economic evaluation. Health Technology Assessment. 2005;9(14):1-203.
Available from: https://doi.org/10.3310/hta9140.
Almutairi H, et al. Laparoscopic Management of Inguinal Hernia: A Systematic Review and Up-
dated Network Meta-Analysis of Randomized Controlled Trials. Cureus. 2024;16(2):e54192.
Available from: https://doi.org/10.7759/cureus.54192.
Li W, Li L, Jiang Y, Zhang J, Lu J, Li L. A retrospective study of 3D laparoscopy and 2D
laparoscopy in transabdominal preperitoneal (TAPP) for unilateral inguinal hernia in elderly
patients. Updates in Surgery. 2024;76(7):2593-601. Available from: https://doi.org/10.1007/
s13304-024-01923-2.
Forte A, D’Urso A, Palumbo P, Lo Storto G, Gallinaro L, Bezzi M, et al. Inguinal hernioplasty:
the gold standard of hernia repair. Hernia. 2003;7:35-8. Available from: https://doi.org/10.
/s10029-002-0095-8.
Khalid M, Khan W, Khan A. Laparoscopic inguinal herniorrhaphy: analysis of initial experience.
Pak J Med Sci. 2006;22:70-3. Available from: https://www.pjms.com.pk/issues/janmar06/
article/article14.html.
Filipi C. Laparoscopic herniorrhaphy: a most helpful procedure. Mayo Clinic Proceed-
ings. 1998;73:806-8. Available from: https://creighton.pure.elsevier.com/en/publications/
laparoscopic-hernior.
Tantia O, Jain M, Khanna S, Sen B. Laparoscopic repair of recurrent groin hernia: results of a
prospective study. Surgical Endoscopy. 2009;23:734-8. Available from: https://doi.org/10.
/s00464-008-0174-6.
Chung R, Rowland D. Meta-analyses of randomized controlled trials of laparoscopic vs
conventional inguinal hernia repairs. Surgical Endoscopy. 1999;13:689-94. Available from:
https://doi.org/10.1007/s004649901074.
Lichtein I, Shulman A, Amid P, Montllor M. The tension-free hernioplasty. American Journal of
Surgery. 1989;157:188-93. Available from: https://doi.org/10.1016/0002-9610(89)90526-6.
Schopf S, von Ahnen T, von Ahnen M, Schardey H. Chronic pain after laparoscopic trans-
abdominal preperitoneal hernia repair: a randomized comparison of light and extralight
titanized polypropylene mesh. World Journal of Surgery. 2011;35:302-10. Available from:
https://doi.org/10.1007/s00268-010-0851-3.
Karthikesalingam A, Markar S, Holt P, Praseedom R. Meta-analysis of randomized controlled
trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. British
Journal of Surgery. 2010;97:4-11. Available from: https://doi.org/10.1002/bjs.6902.
Saber A, Hokkam E, Ellabban G. Laparoscopic transabdominal preperitoneal approach
for recurrent inguinal hernia: a randomized trial. Journal of Minimally Accessed Surgery.
;11:123-8. Available from: https://doi.org/10.4103/0972-9941.157114.