Laparoskopische transperitoneale Hernioplastik (TAPP) – Effektivität und Gefahren
2000; Karger Publishers; Volume: 16; Issue: 2 Linguagem: Inglês
10.1159/000012638
ISSN2297-475X
AutoresB. J. Leibl, C.‐G. Schmedt, K. Kraft, R. Bittner,
Tópico(s)Congenital Diaphragmatic Hernia Studies
ResumoSince the advent of endoscopic hernia repair 10 years ago, the transabdominal preperitoneal (TAPP) and the total extraperitoneal (TEP) technique are established. Data of a study on TAPP repair are analyzed to evaluate the efficiency and complications of the method. Since 1993 the TAPP technique was used in almost all inguinal hernia repairs. Therefore, a complete evaluation of the method is possible. Follow-up was done by means of a documentation team with a computerized database. During an 80-month period, 5,707 TAPP repairs were performed (15.1% recurrent hernia repairs). The median operation time was 45 min, with an overall morbidity of 2.0%. The postoperative recurrence rate was 0.6–1.2%. TAPP repair is effective in inguinal hernia surgery on an unselected group of patients and suitable for trainees. As a possible disadvantage of the technique, the need for general anesthesia may be taken, whereby there is again an advantage in respect of avoiding recurrences in the long-term follow-up.
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