Comparison of Transabdominal Preperitoneal and Totally Extraperitoneal Repair in Laparoscopic Inguinal Hernia: A Randomized, Clinical Trial on Postoperative Complications, Pain, and Functional Recovery.

J Laparoendosc Adv Surg Tech AMay 9, 2026 (epub)
Clinical ResearchGeneral Surgery

Amin Khayreddine Ghouali, Fouad Benamara, Loubna Bouhmama et al.

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In 30 seconds

This randomized clinical trial compared transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) techniques for laparoscopic inguinal hernia repair in 144 adult male patients. The study found that 30-day postoperative complications were significantly more frequent after TAPP (19.4%) compared to TEP (6.9%, P = .024), indicating TEP may be the safer option in the short term.

Key findings

  • 30-day postoperative complications were 19.4% for TAPP vs 6.9% for TEP (P = .024).
  • Chronic pain at 3 months was 5.6% after TAPP and 1.4% after TEP (P = .181).
  • Recurrence rate was 2.8% in both groups after a median follow-up of 26 months.

Why it matters

Understanding the differences in postoperative outcomes between TAPP and TEP techniques can guide surgeons in selecting the appropriate method for inguinal hernia repair, potentially improving patient safety and recovery.

Source

Published in J Laparoendosc Adv Surg Tech A. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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