PMID: 9194780Jun 1, 1997Paper

Laparoscopic groin hernia surgery: the TAPP procedure. Transabdominal preperitoneal hernia repair

Canadian Journal of Surgery. Journal Canadien De Chirurgie
D E LitwinL Rossi

Abstract

To describe the technique and results of laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A case series, with a detailed description of the operative technique. A university affiliated hospital. A consecutive series of 554 patients (494 male, 60 female) who underwent laparoscopic hernia repair in a single institution. The mean follow-up was 14 months. Laparoscopic TAPP hernia repair was performed in almost all patients. Simple closure was performed in a patient with a strangulated hernia, and a mesh-based repair was used in a patient with bilateral obturator hernias. Complications and recurrence. The laparoscopic TAPP repair was successful in 550 of the 554 patients who underwent 632 hernia repairs. conversion was necessary in 4 patients. Complications were infrequent and there were no recurrences. Only 3.4% of patients were lost to follow-up. The most frequent complications were urinary retention (27) and hematoma and seroma (38) in the early postoperative period. Neuralgia (11) and hydrocele (10) also occurred. Mesh infection occurred in only 1 patient and port-site hernias in 3 patients. there was 1 death from an acute myocardial infarction. Laparoscopic TAPP hernia repair is associated with an exceedingly low...Continue Reading

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