A Comparative Study between TAPP vs TEP Inguinal Hernia Repair

Background: Transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) mesh repair are the two common minimal invasive procedures for inguinal hernias. We are routinely practising both the techniques in our institution. We decided to compare these two techniques in our set up. This retrospective study is aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms of various outcomes. Aim: To compare both laparoscopic TAPP vs TEP inguinal hernia repair in our hospital. Materials and Methods: Total of 255 patients who presented with inguinal hernias in the time period of 5 years from October 2018 to September 2023, fit for general anaesthesia were operated. Out of which 130 patients underwent laparoscopic TAPP repair and 125 underwent laparoscopic TEP repair. Results: Both TEP and TAPP mesh repair techniques were comparable in terms of operative time, intraoperative complications, and conversion to open, post-operative pain, time to resume normal activity, and recurrence. Duration of hospital stay was significantly more in TAPP group than TEP group. Conclusion: Laparoscopic repair of inguinal hernias is associated with comparable results in both techniques (TAPP and TEP) and choice between TAPP and TEPP is a personal choice of the operating surgeon.