Laparoscopic transabdominal preperitoneal hernia repair: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20252165Keywords:
Inguinal hernia, TAPP, Laparoscopic surgeryAbstract
This case report highlights the successful management of a complex inguinal hernia using the laparoscopic transabdominal preperitoneal (TAPP) approach. The patient, with a long-standing hernia complicated by loss of domain, underwent preoperative botulinum toxin injections, placement of a peritoneal catheter, and laparoscopic repair with mesh placement. Intraoperative findings and postoperative recovery were uneventful, demonstrating the safety and efficacy of the TAPP technique even in challenging cases. Recent literature supports the use of TAPP in emergency hernia repair, with advantages including reduced postoperative pain, shorter hospital stays, and improved visualization. Ongoing innovations in surgical training and technology continue to enhance outcomes in minimally invasive inguinal hernia repair.
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References
Andresen K, Rosenberg J. Transabdominal Pre-Peritoneal (TAPP) Versus Totally Extraperitoneal (TEP) Laparoscopic Techniques for Inguinal Hernia Repair. Cochrane Database Syst Rev. 2024;7:CD004703. DOI: https://doi.org/10.1002/14651858.CD004703.pub3
Correia de Sá T, Jácome F, Basto T, Costa M, Gonçalves Á, Teixeira N, et al. Transabdominal Preperitoneal (TAPP) Repair for Emergency Groin Hernia: A Systematic Review. Hernia. 2024;28(4):1005-15. DOI: https://doi.org/10.1007/s10029-024-03018-8
Peltrini R, Corcione F, Pacella D, Castiglioni S, Lionetti R, Andreuccetti J, et al. Robotic versus laparoscopic transabdominal preperitoneal (TAPP) approaches to bilateral hernia repair: a multicenter retrospective study using propensity score matching analysis. Surg Endosc. 2023;37(2):1188-93. DOI: https://doi.org/10.1007/s00464-022-09614-y
Kobayashi Y, Shibasaki S, Ito A, Cheong Y, Umeki Y, Nakamura K, et al. Safe Implementation of Laparoscopic Transabdominal Preperitoneal Repair for Groin Hernias by Surgical Residents in Japan: A Single-Center Retrospective Study. Surg Endosc. 2025;10:464-5. DOI: https://doi.org/10.1007/s00464-025-11814-1
Yang S, Zhang G, Jin C, Cao J, Zhu Y, Shen Y, et al. Transabdominal preperitoneal laparoscopic approach for incarcerated inguinal hernia repair: A report of 73 cases. Medicine (Baltimore). 2016;95(52):e5686. DOI: https://doi.org/10.1097/MD.0000000000005686
Mancini R, Pattaro G, Spaziani E. Laparoscopic Trans-Abdominal Pre-Peritoneal (TAPP) Surgery for Incarcerated Inguinal Hernia Repair. Hernia. 2019;23(2):261-6. DOI: https://doi.org/10.1007/s10029-018-1828-7
Zanoni AAG, Delcarro A, Ciccarese F, Villa R, Oldani A, Giorgi R, et al. Laparoscopic transperitoneal hernia repair (TAPP) in emergency: long-term follow-up in a high volume centre. Hernia. 2022;26(4):1063-8. DOI: https://doi.org/10.1007/s10029-021-02516-3
Nishihara Y, Isobe Y. Preoperative Skill Evaluation in Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair Using a 3D Printed TAPP Repair Simulator. Surg Endosc. 2021;35(1):270-4. DOI: https://doi.org/10.1007/s00464-020-07389-8
Wafa TA, El-Saied AW, Darwish M, Elshafey A, Elayoty M, Elbatarny A, et al. Trans-Abdominal Pre-Peritoneal (TAPP) Approach for Anatomical Repair of Direct Inguinal Hernia in Children: Could it Be the New Standardized Approach? J Pediatr Surg. 2024;59(12):161682. DOI: https://doi.org/10.1016/j.jpedsurg.2024.08.022
Liu X, Zhan X, Liu P, Chen L. Efficacy and Long-Term Effect of Transabdominal Preperitoneal Prosthesis for Unilateral Inguinal Hernia. Alternative Therapies in Health and Medicine. 2024;30(9):178-82.
Leibl BJ, Schmedt CG, Schwarz J, Däubler P, Kraft K, Schlossnickel B, et al. A single institution's experience with transperitoneal laparoscopic hernia repair. Am J Surg. 1998;175(6):446-51. DOI: https://doi.org/10.1016/S0002-9610(98)00074-9
Sbacco V, Petrucciani N, Lauteri G, Cossa A, Portinari M, Brescia A, et al. Management of groin hernias in emergency setting: differences in indications and outcomes between laparoscopic and open approach. A single-center retrospective experience. Langenbecks Arch Surg. 2024;409(1):48. DOI: https://doi.org/10.1007/s00423-024-03238-7