Treatment Outcomes and Strategies of Transabdominal Preperitoneal Repair (TAPP) for Inguinal Hernia in a Single Institution

抄録

Since 2013, we have been performing laparoscopic inguinal hernia repair (transabdominal preperitoneal repair: TAPP) for inguinal hernias in adults, and it is currently the first-choice treatment at our institution. Herein, we report the treatment outcomes and strategies of TAPP for inguinal hernia at our hospital. 【Materials and Methods】 We investigated the surgical time, amount of blood loss, length of postoperative hospital stay, and postoperative complication rate of 700 patients (792 lesions) who underwent TAPP from February 2013 to July 2020 at our hospital. 【Results】 The median operation time was 61 minutes (one side), bleeding was negligible, and the median postoperative hospital stay was 1 day. Two patients (0.3%) experienced postoperative recurrence, but there were no reports of chronic pain. 【Conclusion】 The short-term treatment results of TAPP for inguinal hernia at our hospital were generally satisfactory. For surgeons skilled in laparoscopic surgery, TAPP could be a reasonable first-choice treatment for inguinal hernias.