Laparoscopic hernia repair -: TAPP or/and TEP?

被引:84
作者
Leibl, BJ
Jäger, C
Kraft, C
Kraft, K
Schwarz, J
Ulrich, M
Bittner, R
机构
[1] Klinikum Coburg, D-96450 Coburg, Germany
[2] Marien Hosp, Dept Gen & Visceral Surg, Stuttgart, Germany
关键词
TAPP; TEP; comparative trials;
D O I
10.1007/s00423-004-0532-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Of various endoscopic hernia repair procedures, TAPP and TEP have been selected for routine use. Methods: Results from Medline research were analysed. Results: There is a similar risk for postoperative morbidity for both techniques. The recurrence rate in large single-centre series is between 0% and 3.4%. There were numerous indications for both procedures, whereby a transperitoneal TAPP can also be applied in cases of previous preperitoneal operations. Conclusion: Randomised trials comparing both methods of hernia repair are lacking. Seven non-randomised studies showed no differences in recurrence rate and morbidity. In general the learning curve for is shorter in favour of TAPP repair.
引用
收藏
页码:77 / 82
页数:6
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