Laparoscopic transabdominal preperitoneal inguinal hernia repair

Background The laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is an evolving technique associated with well-known advantages of a minimally invasive approach. The present prospective randomized study was conducted to assess the feasibility and safety of performing laparoscopic TAPP repair. Patients and methods The present prospective randomized study was conducted between April 2009 and March 2011 and included 45 patients suffering from uncomplicated primary groin hernia who underwent TAPP repair. Intraoperative incidents, postoperative pain, complications, and recovery in general as well as patient satisfaction at follow-up examination were prospectively recorded. Results There was no injury to vas deferens, other cord structures. or bladder. Eight of the 45 patients developed seroma during the immediate postoperative period. Pain medication was given once to all patients on the first postoperative day. During postoperative follow-up for 24 months, no recurrence was detected. Conclusion TAPP repair is a feasible and safe technique, resulting in less postoperative pain and less postoperative complications; we recommend it as a procedure of choice especially in recurrent and bilateral cases.