Laparoscopic Tapp Inguinal Hernia Repair
An inguinal hernia is a bulging of the intestine through a defect or weak spot in the wall of the lower abdomen.
Laparoscopic tapp inguinal hernia repair. Laparoscopic tapp repair allows easy identification of the hernia sacs without any need to dissect the spermatic cord. Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. In this video key steps of the procedures are demonstrated. The transabdominal preperitoneal tapp approach is the most frequently used laparoscopic technique for inguinal hernia repair.
The choice of approach to the laparoscopic repair of inguinal hernia is controversial. In both the open and laparoscopic repair procedures the aim is to cover the whole inguinofemoral area by a preperitoneal prosthetic mesh and recurrences should not occur. The average contribution margin for the laparoscopic group was 2396 compared with 2489 for the robotic group. Inguinal hernias account for 75 of all abdominal wall hernias and with a lifetime risk of 27 in men and 3 in women.
Anybody can develop an inguinal hernia however its seen more frequently in men than women. For the tapp technique the surgeon enters the membrances covering the organs in the abdominal cavity and places. Hertz and holcomb performed a laparoscopic transabdominal exploration before performing a tep inguinal hernia repair and reported an incidence of incipient contralateral hernias as high as 20. An inguinal hernia is the most common type of hernia that occurs when soft tissue pushes through a weak spot in the lower abdominal muscles often developing in or around the groin area.
Inguinal hernia repair in recurrence generally the short term recurrence rate of laparoscopic inguinal hernia repair is reported to be less than 5 percent. This video shows how inguinal hernias form and how they are treated. The laparoscopic inguinal hernia repair tapp procedure. This page will give you information about a laparoscopic inguinal hernia repair tapp transabdominal preperitoneal.
There is a scarcity of data comparing the laparoscopic transabdominal preperitoneal tapp approach with the laparoscopic totally extraperitoneal tep approach and questions remain about their relative merits and risks. Robotic tapp inguinal hernia repair had longer operative times but patients spent less time in recovery and noted less pain than patients who underwent laparoscopic tapp inguinal hernia repair. Inguinal hernia repair tapp what is an inguinal hernia.