Advantages and disadvantages of contrast analysis of TEP and TAPP

WANG Jia-xing; ZHANG Jie

doi:10.16048/j.issn.2095-5561.2017.03.12

Abstract：Objective To investigate the advantages and disadvantages of laparoscopic totally extraperitoneal hernia repair(TEP) and laparoscopic hernia repair before abdominal peritoneum(TAPP).Methods A retrospective study was performed on 325 patients with inguinal hernia who were admitted from June 2013 to December 2016.Patients were divided into Group A(TEP group,n=165) and Group B(TAPP group,n=160).The intraoperative blood loss,operative time,postoperative intestinal peristalsis recovery time,hospital stay,postoperative hospitalization costs and complications were observed.Results The operative time,intraoperative blood loss,hospital stay and postoperative hospitalization costs between the two groups had no statistically significant difference(P>0.05);the postoperative intestinal peristalsis recovery time between the two groups had statistically significant difference(P<0.05).No hemorrhage,recurrence and other complications were performed in both groups.In Group A,3 patients were converted to TAPP,and 1 case of intestinal obstruction was in Group B,and the incidence of complications in both groups had no statistically significant difference(P>0.05).Conclusion Conclusion TEP operation is difficult,the risk is higher,while it doesn′t need to cut the peritoneum and suture,which has certain choice for the patient,operation should be carried out by rich experience of laparoscopic surgeons.TAPP is not easy to lose the operation space,needs to cut the peritoneum suture and peritoneum,needs certain suture skill,with lower abdominal surgery history,recurrent hernia and bilateral hernia patients are applicable,which can be applied in conditional hospital.