What complications are associated with the different techniques of laparoscopic inguinal hernia repair?

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

As with any hernia repair, postoperative complications are possible. Morbidity is usually low after a TAPP procedure, with one large series reporting a rate of 2.9%. [68] Seromas represent the most common postoperative complication. These usually resolve spontaneously and rarely warrant further intervention (eg, aspiration).

Recurrence is a concern. A large randomized, controlled trial comparing laparoscopic with open repair found that with adequate training, laparoscopic repair yielded equivalent recurrence rates, reduced postoperative pain, and earlier return to work. [24] Recurrence rates after TAPP repair usually range from 1% to 6%; specialized centers performing large numbers of repairs cite rates of less than 1%. [27, 68, 69, 70]

Small-bowel obstruction is a rare complication after a TAPP hernia repair and most commonly results from holes created in the peritoneal flap during dissection. As a rule, it is easily prevented by repairing these tears or holes and ensuring proper tacking of the peritoneum to the abdominal wall over the mesh, so that there are no potential holes or gaps through which bowel can herniate.


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