6th International Medicine and Health Sciences Researches Congress, Ankara, Türkiye, 10 - 11 Nisan 2021, ss.312-313
Aim: Inguinal hernia surgery has quickly adapted to minimally invasive evolution. In this study, it was aimed to compare the transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) techniques and to investigate which technique might be superior in which patient groups.
Method: The data of patients who underwent laparoscopic inguinal hernia repair, between January 2016-November 2020, were retrospectively analyzed. The study included patients who were aged ≥18 years and operated on electively. The groups were compared in terms of age, gender, follow-up time, recurrence, length of hospital stay, seroma, wound infection and mesh reaction.
Results: 66 patients, 48 (72.7%) with TAPP and 18 (27.3%) with TEP were included in the study. A total of 95 repairs were performed. Bilateral hernias were present in 24 patients (50%) in the TAPP group and 5 patients (27.8%) in the TEP group. While 44 patients (91.7%) were male and 4 patients (8.3%) were female in the TAPP group, 16 patients (88.9%) were male and 2 patients (11.1%) were female in the TEP group. The mean age was 49.5±13.8 and 44.8±15.3 for the groups, respectively. The mean follow-up period was 21.4±16.8 months and 17.2±15.2 months, respectively. There was no recurrence, infection and mesh reaction in both groups. Seroma developed in 4 patients (8.3%) in the TAPP group and 1 patient (5.6%) in the TEP group. Mean length of hospital stay was 1.1±0.3 and 1.2±0.4 days for the groups, respectively. There was no difference between the groups in terms of age, gender, follow-up time, hospital stay and seroma (p=0.230, p =0.661, p=0.358, p=0.358, p=1, respectively).
Conclusion: In laparoscopic repair, TAPP and TEP techinices have not been shown to be superior to each other in terms of hospital stay, seroma formation, wound infection, mesh reaction and recurrence. If exploration of the peritoneal cavity is not required, TEP is an effective alternative.