Laparoscopic Transabdominal Preperitoneal (TAPP) Hernia Repair: Surgical Phases and Complications

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2006 Nov 15

PMID 17103276

Citations 20

Authors

F Lovisetto

S Zonta

E Rota

L Bottero

G Faillace

G Turra

A Fantini

M Longoni

Affiliations

Soon will be listed here.

Abstract

Background: This study aimed to determine the nature of complications after transabdominal preperitoneal (TAPP) hernia repair, and to evaluate possible links to intraoperative factors in an effort to reduce the incidence of complications.

Methods: The TAPP procedures for inguinal/femoral hernias performed between 1992 and 2004 at a single center were analyzed retrospectively. Complications were categorized according to severity and stage of the surgical procedure at which they occurred. Individual surgeon performances were examined to determine whether the rates of complications were related to surgeon experience.

Results: A total of 1,973 TAPP procedures were reviewed, and 81% of the patients completed 5 years of follow-up evaluation. The 74 complications (3.7%) reported were categorized as follows: 33 major (1.7%) versus 41 minor (2.0%), 66 hernia-related (3.4%) versus 8 laparoscopy-related (0.5%) complications, and 12 recurrences (0.6%). Risk factors for complications included inguinoscrotal hernia (p < or = 0.001), dissection/reduction of the sac (p = 0.02), and surgeon experience (< 50 TAPP procedures; odds ratio, 7.1; 95% confidence interval, 4.2-11.9).

Conclusions: Accuracy in dissection/reduction of the sac improves the outcome of TAPP hernia repair. This effect is related to the experience of the surgeon. Experience performing more than 75 procedures is required for optimal results.

Citing Articles

Internal hernia after trans-abdominal preperitoneal (TAPP) hernia repair: A case report.

Caruso G, Cantella R, Di Guardo E, Torrisi A, Reina M, Reina G Int J Surg Case Rep. 2024; 124:110445.

PMID: 39418992 PMC: 11532445. DOI: 10.1016/j.ijscr.2024.110445.

Comparison of Conventional versus Modified Preperitoneal Pelvic Packing in Patients with Bleeding Pelvic Fractures: A Single-Center Retrospective Pilot Study.

Jeon S, Yu B, Lee G, Lee M, Lee J, Choi K J Clin Med. 2024; 13(14).

PMID: 39064102 PMC: 11277868. DOI: 10.3390/jcm13144062.

Comparison of modified tumescent and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective clinical study.

Hu Y, Zhang Z, Wang F, Qiu X J Int Med Res. 2024; 52(1):3000605231220789.

PMID: 38242865 PMC: 10799600. DOI: 10.1177/03000605231220789.

Recurrent abdominal pain due to small bowel volvulus after transabdominal preperitoneal hernioplasty: A case report and review of literature.

Man Y, Li B, Zhang X, Huang H, Wang Y World J Clin Cases. 2021; 9(15):3696-3703.

PMID: 34046472 PMC: 8130073. DOI: 10.12998/wjcc.v9.i15.3696.

Causes of recurrence in laparoscopic inguinal hernia repair.

Siddaiah-Subramanya M, Ashrafi D, Memon B, Memon M Hernia. 2018; 22(6):975-986.

PMID: 30145622 DOI: 10.1007/s10029-018-1817-x.

References

Schafer M, Lauper M, Krahenbuhl L . Trocar and Veress needle injuries during laparoscopy. Surg Endosc. 2001; 15(3):275-80. DOI: 10.1007/s004640000337. View

Mirilas P, Colborn G, McClusky 3rd D, Skandalakis L, Skandalakis P, Skandalakis J . The history of anatomy and surgery of the preperitoneal space. Arch Surg. 2005; 140(1):90-4. DOI: 10.1001/archsurg.140.1.90. View

Onofrio L, Cafaro D, Manzo F, Cristiano S, Sgromo B, Ussia G . [Tension-free laparoscopic versus open inguinal hernia repair]. Minerva Chir. 2004; 59(4):369-77. View

Berndsen F, Arvidsson D, Enander L, Leijonmarck C, Wingren U, Rudberg C . Postoperative convalescence after inguinal hernia surgery: prospective randomized multicenter study of laparoscopic versus shouldice inguinal hernia repair in 1042 patients. Hernia. 2002; 6(2):56-61. DOI: 10.1007/s10029-002-0055-3. View

Poobalan A, BRUCE J, King P, Chambers W, Krukowski Z, Smith W . Chronic pain and quality of life following open inguinal hernia repair. Br J Surg. 2001; 88(8):1122-6. DOI: 10.1046/j.0007-1323.2001.01828.x. View

Bueno J, Serralta A, Planells M, Rodero D . Inguinodynia after two inguinal herniorrhaphy methods. Surg Laparosc Endosc Percutan Tech. 2004; 14(4):210-4. DOI: 10.1097/01.sle.0000136660.50669.89. View

Bringman S, Blomqvist P . Intestinal obstruction after inguinal and femoral hernia repair: a study of 33,275 operations during 1992-2000 in Sweden. Hernia. 2004; 9(2):178-83. DOI: 10.1007/s10029-004-0305-7. View

Smith J, Demers M, Pollack R, Gregory S . Prospective comparison between laparoscopic preperitoneal herniorrhaphy and open mesh herniorrhaphy. Am Surg. 2001; 67(2):115-7; discussion 117-8. View

Leibl B, Schmedt C, Kraft K, Ulrich M, Bittner R . Scrotal hernias: a contraindication for an endoscopic procedure? Results of a single-institution experience in transabdominal preperitoneal repair. Surg Endosc. 2000; 14(3):289-92. DOI: 10.1007/s004640000045. View

10.

Rosenberger R, Loeweneck H, Meyer G . The cutaneous nerves encountered during laparoscopic repair of inguinal hernia: new anatomical findings for the surgeon. Surg Endosc. 2000; 14(8):731-5. DOI: 10.1007/s004640000137. View

11.

McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E . Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess. 2005; 9(14):1-203, iii-iv. DOI: 10.3310/hta9140. View

12.

Roviaro G, Varoli F, Saguatti L, Vergani C, Maciocco M, Scarduelli A . Major vascular injuries in laparoscopic surgery. Surg Endosc. 2002; 16(8):1192-6. DOI: 10.1007/s00464-001-8238-z. View

13.

Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons Jr R, Dunlop D, Gibbs J . Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004; 350(18):1819-27. DOI: 10.1056/NEJMoa040093. View

14.

Duron J, Hay J, Msika S, Gaschard D, Domergue J, Gainant A . Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery: a retrospective multicenter study. French Association for Surgical Research. Arch Surg. 2000; 135(2):208-12. DOI: 10.1001/archsurg.135.2.208. View

15.

Felix E, Scott S, Crafton B, Geis P, Duncan T, Sewell R . Causes of recurrence after laparoscopic hernioplasty. A multicenter study. Surg Endosc. 1998; 12(3):226-31. DOI: 10.1007/s004649900640. View

16.

Quilici P, GREANEY Jr E, Quilici J, Anderson S . Laparoscopic inguinal hernia repair: optimal technical variations and results in 1700 cases. Am Surg. 2000; 66(9):848-52. View

17.

Catarci M, Carlini M, Gentileschi P, Santoro E . Major and minor injuries during the creation of pneumoperitoneum. A multicenter study on 12,919 cases. Surg Endosc. 2001; 15(6):566-9. DOI: 10.1007/s004640000381. View

18.

Mahon D, Decadt B, Rhodes M . Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc. 2003; 17(9):1386-90. DOI: 10.1007/s00464-002-9223-x. View

19.

Ramshaw B, Shuler F, Jones H, Duncan T, White J, Wilson R . Laparoscopic inguinal hernia repair: lessons learned after 1224 consecutive cases. Surg Endosc. 2001; 15(1):50-4. DOI: 10.1007/s004640001016. View

20.

Zuvela M, Milicevic M, Galun D, Lekic N, Basaric D, Tomic D . [Infection in hernia surgery]. Acta Chir Iugosl. 2005; 52(1):9-26. DOI: 10.2298/aci0501009z. View