Laparoscopic Transabdominal Preperitoneal Repair of Inguinal Hernia: A Retrospective Study of 1104 Patients
Background: Hernia surgery is one of the most common operations worldwide. Surgery remains the primary treatment for hernias, with limited benefit from conservative management—initially, laparoscopic repair offered better diagnostics, less chronic discomfort, and reduced postoperative pain...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
University of Anbar
2025-06-01
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| Series: | Al-Anbar Medical Journal |
| Subjects: | |
| Online Access: | https://amj.uoanbar.edu.iq/article_188614_24270e2a88a6f8905966f1947558cbca.pdf |
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| Summary: | Background: Hernia surgery is one of the most common operations worldwide. Surgery remains the primary treatment for hernias, with limited benefit from conservative management—initially, laparoscopic repair offered better diagnostics, less chronic discomfort, and reduced postoperative pain. TAPP (transabdominal preperitoneal) repair enhances anatomical recognition, identifies vascular structures, and reveals contralateral groin hernias.Objectives: To report our institution’s experience with TAPP repair, including complications and long-term outcomes.Materials and methods: We retrospectively reviewed all patients who underwent TAPP groin hernia repair between January 1, 2017, and December 31, 2022. The analysed variables included age, sex, hernia type and site, size, mesh type, fixation method, conversion to open repair, operation duration, previous surgery, comorbidities, surgeon expertise, and follow-up.Results: Among the 1104 patients, 97.3% were male and 2.7% were female, with a mean age of 47.44±12.54 years. Hypertension was the most common comorbidity (10.1%). Recurrent Hernias were present in 9.4% of cases, while indirect hernias accounted for 49.3%. Around 2/3rd cases were performed by senior surgeons. Inguinoscrotal hernias were observed in 11.3% of the patients. Intraoperative complications occurred in 3.4% of cases. Postoperative seromas (5.9%) and chronic pain (4%) being the most frequent postoperative issues.Conclusion: TAPP repair for inguinal hernias is an effective and feasible approach with satisfactory outcomes. It is also suitable for training junior surgeons with no significant predictors of postoperative complications. |
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| ISSN: | 2706-6207 2664-3154 |