Surg Endosc 1997; 11:825. Surg Endosc 1997; 11:825. Author content. British Medical journal 1998;317:103-110. Surgical laparoscopy and endoscopy 1991;1:23. Efforts should be made to start and complete adequately powered RCTs, which compare the different methods of laparoscopic repair. TAPP requires access to the peritoneal cavity with placement of a mesh through a peritoneal incision. Five TEP procedures required conversion to the TAPP approach, resulting in one umbilical hernia. Cocks JR. Laparoscopic inguinal hernioplasty: a comparison between transperitoneal and extraperitoneal techniques. 2, APR – JUN 2014 357 Patients were placed in two groups, those who operated by TAPP technique placed in group TAPP, those operated by TEP technique were placed in group TEP. While any conclusions drawn on such indirect comparisons should be treated with caution they do raise questions that can only be satisfactory addressed by well designed studies and systematic reviews of such studies that directly compare TAPP with TEP. Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair. Aeberhard P, Klaiber C, Meyenberg A, Osterwalder A, Tschudi J. TAPP vs TEP.pdf. There have been many studies comparing TEP vs TAPP in terms of safety and efficacy, however there are conflicting reports of advantages of one over the other. A multicenter study. [57] 1997 393 98 1.8 0 7.9 7.1 Cohen et al. 1997:87-91. The two most common techniques for laparoscopic inguinal hernia repair are the transabdominal preperitoneal (TAPP) technique and the totally extraperitoneal (TEP) technique. Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair. Kirsty McCormack, Beverley Wake, Juan Perez, Cynthia Fraser, Jonathan Cook, Emma McIntosh, Luke Vale, Adrian Grant. References to studies included in this review. A Swiss registry study (19) compared the outcome of a total of 1309 laparo-endoscopic recurrent operations, of which 1022 used the TEP technique and 287 the TAPP technique. Bittner R, Montgomery MA, Arregui E, Bansal V, Bingener J, Bisgaard T et al. Prospective audit of laparoscopic totally extraperitoneal inguinal hernia repair: a multicenter study of the Swiss Association for Laparoscopic and Thoracoscopic Surgery (SALTC). TEP vs. TAPP: Only one RCT • 1 RCT (n=52) – Length of stay was shorter in the TEP group • (mean difference: ‐0.70 days, 95% CI ‐1.33 to ‐0.07; p=0.03) – No differences in OR time, LOS, recurrence, return to activity Schrenk, British Journal of Surgery 1996 . Viewed in global terms, no significant differences were noted between the two groups as regards general compli … O'Riordan DC, Morgan M, Kingsnorth AN, Black NA, Clements L, Brady H, Gray V, Parkin J, Ambrose S, Jones P, Raimes S, Taylor R, Watkins D, Devlin HB. However, the difference analyses. Material and method: The study is retrospective, extends over 4 years and includes patients with unilateral inguinal hernia operated using either TAAP or TEP technique. The purpose of this review was to compare the clinical effectiveness and relative efficiency of laparoscopic TAPP and laparoscopic TEP for inguinal hernia repair. Wake BL, McCormack K, Fraser C, Vale L, Perez J, Grant AM. TEP is also associated with longer operating times and higher conversion rates. Journal of laparoendoscopic surgery 1991;1:41-45. The mean duration of follow-up was 3 months, hernia diagnosis was confirmed by clinical examination and the operation was reported to have been performed by an 'experienced ' surgeon. Van Hee R, Goverde P, Hendrickx L, Van der SG, Totte E. Laparoscopic transperitoneal versus extraperitoneal inguinal hernia repair: a prospective clinical trial. IN light of this, the review aims to compare TAPP and TEP directly in order to determine which method is associated with better outcomes, in particular, serious adverse events and subsequent potential consequences such as persisting pain. Totally extraperitoneal or transabdominal. Laparoscopic Inguinal Hernia Repair- Transabdominal Preperitoneal (TAPP) Versus Totally Extra Peritoneal (TEP) - Full Text View. Although it appears that it may take between 30 and 100 procedures to become expert and that generally the operation time for TAPP is less for both experienced and inexperienced operators the data may be biased as it is possible that surgeons performing TEP are already experienced in TAPP. Preliminary results. All published and unpublished randomized controlled trails and quasi-randomized controlled trails comparing laparoscopic TAPP with laparoscopic TEP were eligible for inclusion. 9. A review of 2500 cases. Results of laparoscopic hernioplasty A study of 401 cases in 318 patients. Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society). Surgical Laparoscopy & Endoscopy 1997;7(2):86-89. Adhesion formation in laparoscopic inguinal hernia repair. This content is … DOI: 10.1002/14651858.CD004703.pub2 Relevant participants are adult patients requiring surgery for repair of inguinal hernia (direct and indirect), children (particularly under the age of 12) were no included. Indirect comparisons between TAPP and TEP have raised questions about whether the tow procedures do perform differently for some outcomes such as recurrence. Surg Endosc 9:984–989. Surgical Endoscopy 2002;16(12):1708-1712. In addition, specialists involved in research on the repair of inguinal hernia were contacted to ask for information about any further completed and ongoing trials, relevant websites were searched and reference lists of the all included studies were checked for additional report. The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Cohen RV. Vader VL, Vogt DM, Zucker KA, et al. 8, NO. 14 In our study no patient developed intra hernioplasty. Total hospital costs were 4778$ for R‐TAPP and 3852$ for L‐TEP. Report to the Department of Health 1996. Tacker fixation was done in all patients. – TAPP 2 uses the highest quality coconut shell-based carbon-block filter, used for maximum filtering of chemicals and improvement of taste.This was selected after testing over 40 different variants and building on from our original TAPP 1 filter. 1 Transabdominal pre‐peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair An inguinal hernia (hernia of the groin) is … Dé ideale operatietechniek bestaat niet, … BACKGROUND: The choice of approach to the laparoscopic repair of inguinal hernia is controversial. Oxford: Oxford University Press, 1997. Seminars in Laparoscopic Surgery 1998;5(4):227-232. Panos RG, Beck DE, Maresh JE, Harford FJ. +39 011 91 96 236 Fax. Causes of recurrence after laparoscopic hernioplasty. A comparative study. TAPP vs TEP. Patients undergoing TEP had a significantly higher rate of intraoperative complications (TEP 1.9% vs. TAPP 0.9%, p=0.029) and surgical postoperative complications (TEP: 2.3% vs. TAPP: 0.8%, … Weiser HF, Klinge B. Endoscopic hernia repair - Experiences and characteristic features. These results appear to be broadly consistent regardless of the evidence source. Schrenk P, Bettelheim P, Woisetschlager R, Rieger R, Wayand WU. Five studies with concurrent comparators were identified (Cohen 1998, Felix 1995, Khoury 1995, Lepere 2000, Van Hee 1998); one with a non-concurrent comparator (Weiser 2000); and three studies (Baca 2000, Leibl 2000, Tamme 2003) were case series (TEP, 5203 hernia repairs (Tamme 2003) and TAPP, 2500 (Baca 2000) and 5203 (Leibl 2000) hernia repairs respectively). Schultz L, Graber J, Pietraffita, et al.Laser laparoscopic herniorrhaphy: A clinical trial. Commentary on Transabdominal Preperitoneal (TAPP) vs. Conclusion. No existen estudios concluyentes respecto a la superioridad de la técnica totalmente extraperitoneal (TEP) vs la técnica transabdominal preperitoneal (TAPP) y de ellas sobre las técnicas abiertas. testis in TAPP and 3 cases in TEP. If you have a question, no matter how big or small, and it is outside of opening hours use the email below and we will do our best to get back to you as soon as possible. J Laparoendosc Surg 5:349–355. Schrenk P, Woisetschlager R, Rieger R, Wayand W. Prospective randomised trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Leibl BJ, Schmedt CG, Kraft K, Bittner R. Laparoscopic transperitoneal hernioplasty (TAPP) - efficiency and dangers. Liens » Pubmed, DOI. Wake BL, McCormack K, Fraser C, et al. Vader VL, Vogt DM, Zucker KA, et al. American Journal of Surgery 1996;171(2):281-285.
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