Laparoscopic Inguinal Hernia Repair; Comparison between the Major Techniques: TEP and TAPP
Abstract
Introduction: Laparoscopic inguinal hernia repair made an important revolutionary stage in hernia management and with the accumulative knowledge and experience it is becoming the gold standard way of inguinal hernia repair. The choice of approach to the laparoscopic repair of inguinal hernia is controversial. 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.
References
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2. Dulucq JL (1991) Traitement des hernies de l’aine par la mise en place d’un patch prothetique par laparoscopie. Voi totalement extraperitoneale. Cah Chir 79:15–16.
3. Ger R, Monroe K, Duvivier R, Mishrick A (1990) Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac. Am J Surg 159:370–373.
4. Schultz LS, Graber JN, Pietrafitta J, Hickok DF (1990) Early results with laparoscopic inguinal herniorrhaphy are promising. Clin Laser Mon 8:103–105.
5. Lau WY. History of treatment of groin hernia. World J Surg. Jun 2002; 26(6):74859.
6. Gray SH, Hawn MT, Itani KM. Surgical progress in inguinal and ventral incisional hernia repair. Surg Clin North Am. Feb 2008;88(1):17-26
7. Jenkins JT, O'Dwyer PJ. Inguinal hernias. BMJ. Feb 2 2008; 336(7638):269-72.
8. Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. Oct 2003; 83(5):1045-51.
9. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR. Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg. Dec 2003;90(12):1479-92.
10. McCormack K, Scott NW, Go PM, Ross S, Grant AM. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003; CD001785.
11. Kuhry E, van Veen RN, Langeveld HR, Steyerberg EW, Jeekel J, Bonjer HJ. Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc. Feb 2007; 21(2):161-6.
12. Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med.
Apr 29 2004;350(18):1819-27.
13. Eklund A, Montgomery A, Bergkvist L, Rudberg C. Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg. Apr 2010;97(4):600-8.
14. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009; 13(4): 343-403.
15. Schrenk P, Woisetschlager R, Rieger R, Wayand W (1996) Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg 83:1563–1566.
16. Wake BL, McCormack K, Fraser C, Vale L, Perez J, Grant AM (2005) Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair. Cochrane Database Syst Rev 1:CD004703.
17. Scheyer M, Arnold S, Zimmerman G (2001) Minimally invasive operation techniques for inguinal hernia; spectrum of indications in Austria. Hernia 5:73–79.
18. Sumpf E, Crozier TA, Ahrens D, Bra¨uer A, Neufang T, Braun U (2000) Carbon dioxide absorption during extraperitoneal and transperitoneal endoscopic hernioplasty. Anesth Analg 91:589–595.
19. Ismail M, Garg P (2009) Laparoscopic inguinal total extraperitoneal hernia repair under spinal anesthesia without mesh fixation in 1,220 hernia repairs. Hernia 13:115–119.
20. Sinha R, Gurwara AK, Gupta SC (2008) Laparoscopic total extraperitoneal inguinal hernia repair under spinal anesthesia: a study of 480 patients. J Laparoendosc Adv Surg Tech A 18:673–677.
21. Molinelli BM, Tagliavia A, Bernstein D (2006) Total extraperitoneal preperitoneal laparoscopic hernia repair using spinal anesthesia. JSLS 10:341–344.
22. Lau H, Wong C, Chu K, Patil NG (2005) Endoscopic totally extraperitoneal inguinal hernioplasty under spinal anesthesia. J Laparoendosc Adv Surg Tech A 15:121–124.
23. Lal P, Philips P, Saxena KN, Kajla RK, Chander J, Ramteke VK (2007) Laparoscopic total extraperitoneal (TEP) inguinal hernia repair under epidural anesthesia: a detailed evaluation. Surg Endosc 2:595–601.
24. Chowbey PK, Sood J, Vashistha A, Sharma A, Khullar R, Soni V, BaijalM(2003) Extraperitoneal endoscopic groin hernia repair under epidural anesthesia. Surg Laparosc Endosc Percutan Tech 13:185–190.
25. Schrenk P, Woisetschlager R, Rieger R, Wayand W. Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg 1996;83:1563–6.
26. Baca I, Schultz C, Gotzen V, Jazek G. Laparoscopic inguinal hernia repair. A review of 2500 cases. In Lomanto D, Kum CK, So JBY, Goh PMY, editors. Proceedings of the 7th World Congress of Endoscopic Surgery. Bologna: Monduzzi Editore, 2000. pp. 425–30.
27. Felix EL, Michas CA, Gonzalez MH Jr. Laparoscopic hernioplasty. TAPP vs. TEP. Surg Endosc 1995;9:984–9.
28. Khoury N. A comparative study of laparoscopic extraperitoneal and transabdominal preperitoneal herniorrhaphy. J Laparoendosc Surg 1995;5:349–55.
29. Leibl BJ, Schmedt CG, Kraft K, Bittner R. Laparoscopic transperitoneal hernioplasty (TAPP) – efficiency and dangers. Chir Gastroenterol 2000; 16:106–9.
30. Lepere M, Benchetrit S, Debaert M, Detruit B, Dufilho A, Gaujoux D, et al. A multicentric comparison of transabdominal versus totally extraperitoneal laparoscopic hernia repair using PARIETEX meshes. J Soc Laparoendosc Surg 2000;4:147–53.
31. Tamme C, Scheidbach H, Hampe C, Schneider C, Kockerling F. Totally extraperitoneal endoscopic inguinal hernia repair (TEP). Surg Endosc 2003; 17:190– 5.
32. Van Hee R, Goverde P, Hendrick L, Van der SG, Totte E. Laparoscopic transperitoneal versus extraperitoneal inguinal hernia repair: a prospective clinical trial. Acta Chir Belg 1998; 98:132–5.
33. Weiser HF, Klinge B. Endoscopic hernia repair – experiences and characteristic features. Viszeralchirurgie 2000;35:316–20.
34. Cohen RV, Alvarez G, Roll S, Garcia ME, Kawahara N, Schiavon CA, et al.
ransabdominal or totally extraperitoneal laparoscopic hernia repair? Surg Laparosc Endosc 1998;8:264–8.
35. Learning curve for unilateral endoscopic totally extraperitoneal (TEP) inguinal hernioplasty. Surg Endosc 2002;16:1724–8.
36. Aeberhard P, Klaiber C, Meyenberg A, Osterwalder A, Tschudi J. Prospective audit of laparoscopic totally extraperitoneal inguinal hernia repair: a multicenter study of the Swiss Association for Laparoscopic and Thoracoscopic Surgery (SALTC). Surg Endosc 1999;13:1115–20.
37. Leibl BJ, Schmedt CG, Ulrich M, Kraft K, Bittner R. Laparoscopic hernia therapy (TAPP) as a teaching operation. Chirurg 2000;71:939–42.
38. Liem MS, van Steensel CJ, Boelhouwer RU, Weidema WF, Clevers GJ, Meijer WS, et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 1996;171:281–5.
39. Ramsay CR, Grant AM, Wallace SA, Garthwaite PH, Monk AF, Russell IT. Statistical assessment of the learning curves of health technologies. Health Technol Assess 2001;5(12).
40. Voitk AJ. The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg 1998;41:446–50.
41. Wright D, O’Dwyer PJ. The learning curve for laparoscopic hernia repair. Semin Laparosc Surg 1998;5:227–32. 127.
42. Lau H, Yeung E, Patil N-G, Yuen W-K, Lee F. Learning curves for unilateral endoscopic totally extraperitoneal inguinal hernioplasty. Surg Endosc 2002;16 (Suppl 1):S311.
43. Yoon Young Choi, Zisun Kim, Kyung Yul Hur. Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia. Can J Surg, Vol. 55, No. 1, February 2012
44. Jong Won Lim, Jin Yong Lee1, Sang Eok Lee, Ju Ik Moon, Yu Mi Ra, In Seok Choi, Won Jun Choi, Dae Sung Yoon, Hyun Sik Min. The learning curve for laparoscopic totally extraperitoneal herniorrhaphy by moving average. J Korean Surg Soc 2012;83:92-96.
45. Voitk AJ. The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg. 1998;41:446-50.
46. Feliu-Pala X, Martin-Gomez M, Morales-Conde S, Fernandez-Sallent E. The impact of the surgeon's experience on the results of laparoscopic hernia repair. Surg Endosc. 2001;15:1467-70.
47. Laparoscopic versus open repair of groin hernia: a randomised comparison. The MRC Laparoscopic Groin Hernia Trial Group. Lancet 1999;354:185–90.
48. Aitola P, Airo I, Matikainen M. Laparoscopic versus open preperitoneal inguinal hernia repair: a prospective randomised trial. Ann Chir Gynaecol 1998;87:22–5.
49. Johansson B, Hallerback B, Glise H, Anesten B, Smedberg S, Roman J. Laparoscopic mesh versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR Hernia Repair Study). Ann Surg 1999;230:225–31.
50. Andersson B, Hall AC, Leveau P, Bergenfelz A, Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: a prospective randomized controlled trial. Surgery 2003;133:464–72.
2. Dulucq JL (1991) Traitement des hernies de l’aine par la mise en place d’un patch prothetique par laparoscopie. Voi totalement extraperitoneale. Cah Chir 79:15–16.
3. Ger R, Monroe K, Duvivier R, Mishrick A (1990) Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac. Am J Surg 159:370–373.
4. Schultz LS, Graber JN, Pietrafitta J, Hickok DF (1990) Early results with laparoscopic inguinal herniorrhaphy are promising. Clin Laser Mon 8:103–105.
5. Lau WY. History of treatment of groin hernia. World J Surg. Jun 2002; 26(6):74859.
6. Gray SH, Hawn MT, Itani KM. Surgical progress in inguinal and ventral incisional hernia repair. Surg Clin North Am. Feb 2008;88(1):17-26
7. Jenkins JT, O'Dwyer PJ. Inguinal hernias. BMJ. Feb 2 2008; 336(7638):269-72.
8. Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. Oct 2003; 83(5):1045-51.
9. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR. Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg. Dec 2003;90(12):1479-92.
10. McCormack K, Scott NW, Go PM, Ross S, Grant AM. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003; CD001785.
11. Kuhry E, van Veen RN, Langeveld HR, Steyerberg EW, Jeekel J, Bonjer HJ. Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc. Feb 2007; 21(2):161-6.
12. Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med.
Apr 29 2004;350(18):1819-27.
13. Eklund A, Montgomery A, Bergkvist L, Rudberg C. Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg. Apr 2010;97(4):600-8.
14. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009; 13(4): 343-403.
15. Schrenk P, Woisetschlager R, Rieger R, Wayand W (1996) Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg 83:1563–1566.
16. Wake BL, McCormack K, Fraser C, Vale L, Perez J, Grant AM (2005) Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair. Cochrane Database Syst Rev 1:CD004703.
17. Scheyer M, Arnold S, Zimmerman G (2001) Minimally invasive operation techniques for inguinal hernia; spectrum of indications in Austria. Hernia 5:73–79.
18. Sumpf E, Crozier TA, Ahrens D, Bra¨uer A, Neufang T, Braun U (2000) Carbon dioxide absorption during extraperitoneal and transperitoneal endoscopic hernioplasty. Anesth Analg 91:589–595.
19. Ismail M, Garg P (2009) Laparoscopic inguinal total extraperitoneal hernia repair under spinal anesthesia without mesh fixation in 1,220 hernia repairs. Hernia 13:115–119.
20. Sinha R, Gurwara AK, Gupta SC (2008) Laparoscopic total extraperitoneal inguinal hernia repair under spinal anesthesia: a study of 480 patients. J Laparoendosc Adv Surg Tech A 18:673–677.
21. Molinelli BM, Tagliavia A, Bernstein D (2006) Total extraperitoneal preperitoneal laparoscopic hernia repair using spinal anesthesia. JSLS 10:341–344.
22. Lau H, Wong C, Chu K, Patil NG (2005) Endoscopic totally extraperitoneal inguinal hernioplasty under spinal anesthesia. J Laparoendosc Adv Surg Tech A 15:121–124.
23. Lal P, Philips P, Saxena KN, Kajla RK, Chander J, Ramteke VK (2007) Laparoscopic total extraperitoneal (TEP) inguinal hernia repair under epidural anesthesia: a detailed evaluation. Surg Endosc 2:595–601.
24. Chowbey PK, Sood J, Vashistha A, Sharma A, Khullar R, Soni V, BaijalM(2003) Extraperitoneal endoscopic groin hernia repair under epidural anesthesia. Surg Laparosc Endosc Percutan Tech 13:185–190.
25. Schrenk P, Woisetschlager R, Rieger R, Wayand W. Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg 1996;83:1563–6.
26. Baca I, Schultz C, Gotzen V, Jazek G. Laparoscopic inguinal hernia repair. A review of 2500 cases. In Lomanto D, Kum CK, So JBY, Goh PMY, editors. Proceedings of the 7th World Congress of Endoscopic Surgery. Bologna: Monduzzi Editore, 2000. pp. 425–30.
27. Felix EL, Michas CA, Gonzalez MH Jr. Laparoscopic hernioplasty. TAPP vs. TEP. Surg Endosc 1995;9:984–9.
28. Khoury N. A comparative study of laparoscopic extraperitoneal and transabdominal preperitoneal herniorrhaphy. J Laparoendosc Surg 1995;5:349–55.
29. Leibl BJ, Schmedt CG, Kraft K, Bittner R. Laparoscopic transperitoneal hernioplasty (TAPP) – efficiency and dangers. Chir Gastroenterol 2000; 16:106–9.
30. Lepere M, Benchetrit S, Debaert M, Detruit B, Dufilho A, Gaujoux D, et al. A multicentric comparison of transabdominal versus totally extraperitoneal laparoscopic hernia repair using PARIETEX meshes. J Soc Laparoendosc Surg 2000;4:147–53.
31. Tamme C, Scheidbach H, Hampe C, Schneider C, Kockerling F. Totally extraperitoneal endoscopic inguinal hernia repair (TEP). Surg Endosc 2003; 17:190– 5.
32. Van Hee R, Goverde P, Hendrick L, Van der SG, Totte E. Laparoscopic transperitoneal versus extraperitoneal inguinal hernia repair: a prospective clinical trial. Acta Chir Belg 1998; 98:132–5.
33. Weiser HF, Klinge B. Endoscopic hernia repair – experiences and characteristic features. Viszeralchirurgie 2000;35:316–20.
34. Cohen RV, Alvarez G, Roll S, Garcia ME, Kawahara N, Schiavon CA, et al.
ransabdominal or totally extraperitoneal laparoscopic hernia repair? Surg Laparosc Endosc 1998;8:264–8.
35. Learning curve for unilateral endoscopic totally extraperitoneal (TEP) inguinal hernioplasty. Surg Endosc 2002;16:1724–8.
36. Aeberhard P, Klaiber C, Meyenberg A, Osterwalder A, Tschudi J. Prospective audit of laparoscopic totally extraperitoneal inguinal hernia repair: a multicenter study of the Swiss Association for Laparoscopic and Thoracoscopic Surgery (SALTC). Surg Endosc 1999;13:1115–20.
37. Leibl BJ, Schmedt CG, Ulrich M, Kraft K, Bittner R. Laparoscopic hernia therapy (TAPP) as a teaching operation. Chirurg 2000;71:939–42.
38. Liem MS, van Steensel CJ, Boelhouwer RU, Weidema WF, Clevers GJ, Meijer WS, et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 1996;171:281–5.
39. Ramsay CR, Grant AM, Wallace SA, Garthwaite PH, Monk AF, Russell IT. Statistical assessment of the learning curves of health technologies. Health Technol Assess 2001;5(12).
40. Voitk AJ. The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg 1998;41:446–50.
41. Wright D, O’Dwyer PJ. The learning curve for laparoscopic hernia repair. Semin Laparosc Surg 1998;5:227–32. 127.
42. Lau H, Yeung E, Patil N-G, Yuen W-K, Lee F. Learning curves for unilateral endoscopic totally extraperitoneal inguinal hernioplasty. Surg Endosc 2002;16 (Suppl 1):S311.
43. Yoon Young Choi, Zisun Kim, Kyung Yul Hur. Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia. Can J Surg, Vol. 55, No. 1, February 2012
44. Jong Won Lim, Jin Yong Lee1, Sang Eok Lee, Ju Ik Moon, Yu Mi Ra, In Seok Choi, Won Jun Choi, Dae Sung Yoon, Hyun Sik Min. The learning curve for laparoscopic totally extraperitoneal herniorrhaphy by moving average. J Korean Surg Soc 2012;83:92-96.
45. Voitk AJ. The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg. 1998;41:446-50.
46. Feliu-Pala X, Martin-Gomez M, Morales-Conde S, Fernandez-Sallent E. The impact of the surgeon's experience on the results of laparoscopic hernia repair. Surg Endosc. 2001;15:1467-70.
47. Laparoscopic versus open repair of groin hernia: a randomised comparison. The MRC Laparoscopic Groin Hernia Trial Group. Lancet 1999;354:185–90.
48. Aitola P, Airo I, Matikainen M. Laparoscopic versus open preperitoneal inguinal hernia repair: a prospective randomised trial. Ann Chir Gynaecol 1998;87:22–5.
49. Johansson B, Hallerback B, Glise H, Anesten B, Smedberg S, Roman J. Laparoscopic mesh versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR Hernia Repair Study). Ann Surg 1999;230:225–31.
50. Andersson B, Hall AC, Leveau P, Bergenfelz A, Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: a prospective randomized controlled trial. Surgery 2003;133:464–72.
Published
2014-12-01
How to Cite
ELHAJ ABDELKAREM, Mohamed Elfatih Mohamed.
Laparoscopic Inguinal Hernia Repair; Comparison between the Major Techniques: TEP and TAPP.
Gezira Journal of Health Sciences, [S.l.], v. 10, n. 2, dec. 2014.
ISSN 1810-5386. Available at: <http://37.60.236.48/index.php/gjhs/article/view/368>. Date accessed: 03 june 2026.
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