Transabdominal Preperitoneal (TAPP) Compared to Totally Extraperitoneal (TEP) for Primary Inguinal Hernia Repair in a Military Hospital: A Retrospective Cohort Study
ABSTRACT Background Inguinal hernias are encountered commonly, but there is a lack of uniformity and standardization in repair techniques. There are a variety of repair methods, from open methods to laparoscopic approaches. The available laparoscopic techniques that exist for inguinal hernia repair...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-12-01
|
| Series: | Health Science Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/hsr2.70270 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850058266670792704 |
|---|---|
| author | Sunil Basukala Oshan Shrestha Suchit Thapa Chhetri Niranjan Thapa Samana Oli Bipin K. Mehta Nabin Pokhrel Bishal Tiwari |
| author_facet | Sunil Basukala Oshan Shrestha Suchit Thapa Chhetri Niranjan Thapa Samana Oli Bipin K. Mehta Nabin Pokhrel Bishal Tiwari |
| author_sort | Sunil Basukala |
| collection | DOAJ |
| description | ABSTRACT Background Inguinal hernias are encountered commonly, but there is a lack of uniformity and standardization in repair techniques. There are a variety of repair methods, from open methods to laparoscopic approaches. The available laparoscopic techniques that exist for inguinal hernia repair are transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. This study aims to compare the outcomes of these two laparoscopic procedures. Methods The study was initiated after receiving ethical clearance. This single‐centric retrospective study included the patients that underwent laparoscopic inguinal hernia repair from January 1, 2020, to December 31, 2023. Patient records were reviewed and assessed against the inclusion criteria of the study. Systematic random sampling was applied to select patients from the records. A structured questionnaire was prepared for the purpose of data collection. The data were refined and analyzed using the SPSS software. Results A total of 200 patients (100 in each group) who underwent laparoscopic repair of an inguinal hernia were part of this study. The median (IQR) age of patients in the TAPP group was 50 (41.25–64.75) years, and that in the TEP group was 48.5 (39.25–64.75) years. The TAPP procedure took a median (IQR) time of 81 (77–88) min, while the TEP procedure took 69 (66–73) min to finish. The patients in the TAPP group returned to their normal activities after 15 (14–16) days of surgery, and the patients in the TEP group returned after 13 (11–14) days. The pain score at 1 week was found to be better in the TEP group. No difference was observed in complications or recurrence. Conclusion TEP repair was found to be superior to TAPP repair in terms of procedural time, return to normal activities, and pain score at 1 week. |
| format | Article |
| id | doaj-art-770d46612ed84b7690d189bbb2d6b950 |
| institution | DOAJ |
| issn | 2398-8835 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-770d46612ed84b7690d189bbb2d6b9502025-08-20T02:51:12ZengWileyHealth Science Reports2398-88352024-12-01712n/an/a10.1002/hsr2.70270Transabdominal Preperitoneal (TAPP) Compared to Totally Extraperitoneal (TEP) for Primary Inguinal Hernia Repair in a Military Hospital: A Retrospective Cohort StudySunil Basukala0Oshan Shrestha1Suchit Thapa Chhetri2Niranjan Thapa3Samana Oli4Bipin K. Mehta5Nabin Pokhrel6Bishal Tiwari7Department of Surgery Nepalese Army Institute of Health Sciences Kathmandu NepalDepartment of Anaesthesiology Manmohan Cardiothoracic Vascular and Transplant Center Kathmandu NepalNepalese Army Institute of Health Sciences Kathmandu NepalDepartment of Surgery Nepalese Army Institute of Health Sciences Kathmandu NepalDepartment of Surgery Nepalese Army Institute of Health Sciences Kathmandu NepalNepalese Army Institute of Health Sciences Kathmandu NepalDepartment of Surgery Universal College of Medical Sciences and Teaching Hospital Bhairahawa NepalLamjung Hospital Besisahar NepalABSTRACT Background Inguinal hernias are encountered commonly, but there is a lack of uniformity and standardization in repair techniques. There are a variety of repair methods, from open methods to laparoscopic approaches. The available laparoscopic techniques that exist for inguinal hernia repair are transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. This study aims to compare the outcomes of these two laparoscopic procedures. Methods The study was initiated after receiving ethical clearance. This single‐centric retrospective study included the patients that underwent laparoscopic inguinal hernia repair from January 1, 2020, to December 31, 2023. Patient records were reviewed and assessed against the inclusion criteria of the study. Systematic random sampling was applied to select patients from the records. A structured questionnaire was prepared for the purpose of data collection. The data were refined and analyzed using the SPSS software. Results A total of 200 patients (100 in each group) who underwent laparoscopic repair of an inguinal hernia were part of this study. The median (IQR) age of patients in the TAPP group was 50 (41.25–64.75) years, and that in the TEP group was 48.5 (39.25–64.75) years. The TAPP procedure took a median (IQR) time of 81 (77–88) min, while the TEP procedure took 69 (66–73) min to finish. The patients in the TAPP group returned to their normal activities after 15 (14–16) days of surgery, and the patients in the TEP group returned after 13 (11–14) days. The pain score at 1 week was found to be better in the TEP group. No difference was observed in complications or recurrence. Conclusion TEP repair was found to be superior to TAPP repair in terms of procedural time, return to normal activities, and pain score at 1 week.https://doi.org/10.1002/hsr2.70270inguinal herniatotally extraperitonealtransabdominal preperitoneal |
| spellingShingle | Sunil Basukala Oshan Shrestha Suchit Thapa Chhetri Niranjan Thapa Samana Oli Bipin K. Mehta Nabin Pokhrel Bishal Tiwari Transabdominal Preperitoneal (TAPP) Compared to Totally Extraperitoneal (TEP) for Primary Inguinal Hernia Repair in a Military Hospital: A Retrospective Cohort Study Health Science Reports inguinal hernia totally extraperitoneal transabdominal preperitoneal |
| title | Transabdominal Preperitoneal (TAPP) Compared to Totally Extraperitoneal (TEP) for Primary Inguinal Hernia Repair in a Military Hospital: A Retrospective Cohort Study |
| title_full | Transabdominal Preperitoneal (TAPP) Compared to Totally Extraperitoneal (TEP) for Primary Inguinal Hernia Repair in a Military Hospital: A Retrospective Cohort Study |
| title_fullStr | Transabdominal Preperitoneal (TAPP) Compared to Totally Extraperitoneal (TEP) for Primary Inguinal Hernia Repair in a Military Hospital: A Retrospective Cohort Study |
| title_full_unstemmed | Transabdominal Preperitoneal (TAPP) Compared to Totally Extraperitoneal (TEP) for Primary Inguinal Hernia Repair in a Military Hospital: A Retrospective Cohort Study |
| title_short | Transabdominal Preperitoneal (TAPP) Compared to Totally Extraperitoneal (TEP) for Primary Inguinal Hernia Repair in a Military Hospital: A Retrospective Cohort Study |
| title_sort | transabdominal preperitoneal tapp compared to totally extraperitoneal tep for primary inguinal hernia repair in a military hospital a retrospective cohort study |
| topic | inguinal hernia totally extraperitoneal transabdominal preperitoneal |
| url | https://doi.org/10.1002/hsr2.70270 |
| work_keys_str_mv | AT sunilbasukala transabdominalpreperitonealtappcomparedtototallyextraperitonealtepforprimaryinguinalherniarepairinamilitaryhospitalaretrospectivecohortstudy AT oshanshrestha transabdominalpreperitonealtappcomparedtototallyextraperitonealtepforprimaryinguinalherniarepairinamilitaryhospitalaretrospectivecohortstudy AT suchitthapachhetri transabdominalpreperitonealtappcomparedtototallyextraperitonealtepforprimaryinguinalherniarepairinamilitaryhospitalaretrospectivecohortstudy AT niranjanthapa transabdominalpreperitonealtappcomparedtototallyextraperitonealtepforprimaryinguinalherniarepairinamilitaryhospitalaretrospectivecohortstudy AT samanaoli transabdominalpreperitonealtappcomparedtototallyextraperitonealtepforprimaryinguinalherniarepairinamilitaryhospitalaretrospectivecohortstudy AT bipinkmehta transabdominalpreperitonealtappcomparedtototallyextraperitonealtepforprimaryinguinalherniarepairinamilitaryhospitalaretrospectivecohortstudy AT nabinpokhrel transabdominalpreperitonealtappcomparedtototallyextraperitonealtepforprimaryinguinalherniarepairinamilitaryhospitalaretrospectivecohortstudy AT bishaltiwari transabdominalpreperitonealtappcomparedtototallyextraperitonealtepforprimaryinguinalherniarepairinamilitaryhospitalaretrospectivecohortstudy |