What are the advantages of TEP over TAPP in laparoscopic inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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With respect to outcome, TEP appears to have several advantages over TAPP, including the following [3, 71, 72, 73] :

  • Less risk of intraperitoneal injury
  • Fewer intra-abdominal adhesions
  • No need to close a large peritoneal envelope

Many surgeons find the working space confining when they first perform TEP repairs, but this challenge can be overcome with experience. Mastery of the anatomy of the preperitoneal space and meticulous surgical technique conduce to favorable outcomes after TEP.

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