TAPP AND TEP HERNI REPAIR TECHNIQUE
| Discussion in 'All Categories' started by GAURAV - Apr 29th, 2012 7:49 am. | |
GAURAV
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I HAVE BILATERAL INGUNAL HERNIA. WHICH METHOD IS BETTER TAPP OR TEP.HOW A DOCTOR TAKES DECISION TO GO FOR TAPP OR TEP? |
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re: TAPP AND TEP HERNI REPAIR TECHNIQUE
by Dr J.S Chowhan -
May 1st, 2012
12:17 pm
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Dr J.S Chowhan
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Dear Gaurav TEP and TAPP both repair of hernia is dood and Cochrane database meta-analysis comparing TEP to TAPP found no significant difference in recurrence but did find that TAPP was associated with a higher risk of intra-abdominal injury. But further randomized controlled trials are needed to definitively compare these 2 techniques of laparoscopic repair of inguinal hernia. Surgical expertise of laparoscopic surgeon doing this surgery also plays an important role in selecting the appropriate type of repair. Data show that the recurrence rate drops significantly with increased surgeon experience with the laparoscopic technique. Some studies suggest that the learning curve for laparoscopic totally extraperitoneal (TEP) laparoscopic herniorrhaphy may be as high. Transabdominal preperitoneal (TAPP) repair has a learning curve closer to that of the open technique however, TEP is technically difficult. With regards J.S. Chowhan |