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Review
. 2005 Apr;390(2):77-82.
doi: 10.1007/s00423-004-0532-5. Epub 2005 Feb 15.

Laparoscopic hernia repair--TAPP or/and TEP?

B J Leibl  1 , C Jäger, B Kraft, K Kraft, J Schwarz, M Ulrich, R Bittner
Affiliations
Review

Laparoscopic hernia repair--TAPP or/and TEP?

B J Leibl et al. Langenbecks Arch Surg. 2005 Apr.

Abstract

Background: Of various endoscopic hernia repair procedures, TAPP and TEP have been selected for routine use.

Methods: Results from Medline research were analysed.

Results: There is a similar risk for postoperative morbidity for both techniques. The recurrence rate in large single-centre series is between 0% and 3.4%. There were numerous indications for both procedures, whereby a transperitoneal TAPP can also be applied in cases of previous preperitoneal operations.

Conclusion: Randomised trials comparing both methods of hernia repair are lacking. Seven non-randomised studies showed no differences in recurrence rate and morbidity. In general the learning curve for is shorter in favour of TAPP repair.

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