What are the laparoscopic techniques used in inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Answer

The term laparoscopic inguinal herniorrhaphy can refer to any of the following three techniques:

  • Totally extraperitoneal (TEP) repair
  • Transabdominal preperitoneal (TAPP) repair
  • Intraperitoneal onlay mesh (IPOM) repair [16, 17, 18, 19]

The IPOM repair has largely fallen from favor, and currently, the most commonly performed laparoscopic techniques are the TEP and TAPP repairs. [14, 15, 8] Although many facets of laparoscopic inguinal hernia repair continue to be debated—such as the possible superiority of one laparoscopic approach to another, comparisons between laparoscopic and open surgery, the learning curve and training issues, and the socioeconomic implications—both TAPP and TEP have been shown to be acceptable and safe for repair of inguinal hernias.

For information on manual reduction of hernias, see Hernia Reduction. For a discussion of open repair, see Open Inguinal Hernia Repair.


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