Advantages of transabdominal preperitoneal laparoscopic technique in detecting occult hernia and comparison with totally extraperitoneal repair and traditional open surgery

VernacularTitle:TAPP在隐匿疝探查中的优势及其与TEP和传统手术的比较
Author: Lei NIU ¹ ; Langbiao LIU ; Yadong WU ; Jun CAI
Author Information

1. 100050 北京,首都医科大学附属北京友谊医院普通外科
Keywords: Inguen; Hernia; Laparoscopy; Transabdominal preperitoneal; Totally extraperitoneal; Occult hernia
From: Journal of Navy Medicine 2025;46(8):811-815
CountryChina
Language:Chinese
Abstract: Objective To investigate the safety and efficacy of transabdominal preperitoneal(TAPP)laparoscopic inguinal hernia repair and its effectiveness of detecting occult hernia.Methods A retrospective analysis was conducted on the clinical data of 682 patients who underwent inguinal hernia repair at Beijing Friendship Hospital from June 2019 to November 2021.The patients were assigned to TAPP group(n=316),totally extraperitoneal(TEP)group(n=257),and traditional open surgery group(n=109)according to surgical methods.The operation time,blood loss,postoperative recovery,complications,and recurrence were compared among the three groups.The detection of occult hernias was recorded.Results The operation time in the TAPP group was significantly shorter than that in the other two groups(P<0.05).The blood loss in the three groups was as follows:TEP group