Totally Extraperitoneal Approach in Inguinal Hernia Repair

Abstract

AbstractInguinal hernia can be repaired endoscopically via three methods namely total extraperitoneal (TEP), transabdominal pre-peritoneal (TAPP), and the less common intraperitoneal onlay mesh (IPOM) repair. The first two are widely utilized for the obvious advantages of lower recurrence and complication rates, and better outcome (less pain, less analgesic reqirement, less surgical site infection, reduced length of hospital stay, early return to daily activity, etc.) when compared to the open repair while covering all the potential hernia site in the myopectineal orifice with a large prosthesis [1, 2]. The TEP approach has a lower risk of intra-abdominal injury to organs and postoperative adhesions. On the other hand, in the TAPP approach, the contralateral side can be examined for occult or undiagnosed hernia and it can be useful as a diagnostic tool in an emergency hernia repair of irreducible cases.