What are the methods of laparoscopic repair of hernia?

What are the methods of laparoscopic repair of hernia?

Posted by Avishek

Posted on 7th April, 2024 at 10:26:23 PM

Dr. Nilay Biswas

There is two types of laparoscopic Hernia repair:

  • The Transabdominal Preperitoneal repair (TAPP)
  • The Totally extraperitoneal (TEP) repair

In the transabdominal preperitoneal (TAPP) repair, the peritoneal cavity is entered, the peritoneum is dissected from the myopectinealorifice, mesh prosthesis is secured, and the peritoneal defect is closed. This technique has been criticized for exposing intra-abdominal organs to potential complications, including small bowel injury and obstruction.Nowadays only indication of TAPP is recurrent hernia or failure of TEP.

The totally extraperitoneal (TEP) repair maintains peritoneal integrity, theoretically eliminating these risks while allowing direct visualization of the groin anatomy, which is critical for a successful repair. Other common hernias repaired by laparoscopic method Umbilical Hernia,Para-umbilical Hernia,Epigastric Hernia,Incisional or Post-operative Hernia

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