Erschienen in:
01.04.2005 | Current Concepts in Clinical Surgery
Laparoscopic hernia repair—TAPP or/and TEP?
verfasst von:
B. J. Leibl, C. Jäger, B. Kraft, K. Kraft, J. Schwarz, M. Ulrich, R. Bittner
Erschienen in:
Langenbeck's Archives of Surgery
|
Ausgabe 2/2005
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Abstract
Background
Of various endoscopic hernia repair procedures, TAPP and TEP have been selected for routine use.
Methods
Results from Medline research were analysed.
Results
There is a similar risk for postoperative morbidity for both techniques. The recurrence rate in large single-centre series is between 0% and 3.4%. There were numerous indications for both procedures, whereby a transperitoneal TAPP can also be applied in cases of previous preperitoneal operations.
Conclusion
Randomised trials comparing both methods of hernia repair are lacking. Seven non-randomised studies showed no differences in recurrence rate and morbidity. In general the learning curve for is shorter in favour of TAPP repair.