Key result
TEP shortens operative time, reduces immediate pain, and speeds return to work versus TAPP.
Why the study?
Inguinal hernia repair has evolved from open to laparoscopic techniques, prompting comparison of intra-operative and post-operative outcomes between TEP and TAPP.
Does TEP improve intra-operative and post-operative outcomes compared to TAPP in adult patients undergoing laparoscopic inguinal hernia repair?
RCT (n=50)
Allocated based on surgeon's preference
No
Does TEP improve intra-operative and post-operative outcomes compared to TAPP in adult patients undergoing laparoscopic inguinal hernia repair?
p-value: p=<0.0001
TEP is associated with shorter operative time, less immediate post-operative pain, and earlier return to normal work compared to TAPP for inguinal hernia repair.
TEP may be preferred over TAPP for inguinal hernia repair; reinforces RCT evidence favoring TEP on operative and recovery metrics.
Background: Inguinal hernia surgery is one of the most common elective procedures performed by the surgeons and has evolved from open to the laparoscopic technique. Aims and Objectives: This prospective study was conducted to find out intra-operative and post-operative outcomes in patients undergoing TEP and TAPP for inguinal hernia repair. Materials and Methods: A prospective study was conducted on 50 adult patients who underwent laparoscopic inguinal hernia repair between November 2017 to November 2018. It was a randomized study and equal number of patients were allocated to TAPP and TEP group based on the surgeon’s preference. Results: Operative time [p<0.0001], intensity of pain (VAS) was significantly higher in TAPP compared to TEP in the immediate post-operative period (6 hours) and during hospital stay [p=0.0299]. No significant difference observed in VAS between TEP and TAPP during follow up [after 1 week (p=0.2298), 2 weeks (p=0.2337), and 4 weeks (p=0.3944)]. Both TEP and TAPP were comparable in terms of Intra-operative and Post-operative complications {seroma [during hospital stay (p=0.1573), after 1 week (p=0.6375), after 2 weeks (p=0.5513)]; haematoma [during hospital stay (p=0.1492), after 1 week (p=0.3125)]} and Conversion (p=0.3125), and Length of hospital stay (p=0.3960). Time to resume normal work [p<0.0001] was significantly more in TAPP than TEP. Conclusion: TEP has a definite edge over TAPP taking into consideration the lesser intensity of post-operative pain during hospital stay, shorter duration of surgery and relatively early return to normal work associated with the former procedure. TEP should therefore be regarded as the procedure of choice for inguinal hernia repair.
No takes yet. Share an insight, caveat, or question.
Rab et al. (2020) conducted an RCT in Inguinal hernia (n=50). TEP (Totally Extraperitoneal repair) vs. TAPP (Transabdominal Preperitoneal repair) was evaluated on Operative time (p=<0.0001). TEP resulted in significantly shorter operative time (p<0.0001), lower immediate post-operative pain (p=0.0299), and earlier return to normal work (p<0.0001) compared to TAPP.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: