Inguinal hernias are without doubt one of the more common general surgical operations performed, and with the advent of laparoscopy, great debate ensued regarding which method is best for repair.
A Cochrane review from almost 10 years ago found that laparoscopic repair had a higher risk of visceral injury, but quicker recover and less persisting pain. In terms of recurrence, it wasn’t the method that mattered, just the fact that a mesh would reduce it. A follow up review found that there wasn’t a great deal of data on the exact technique of laparoscopy surgery that should be used.
This stats heavy article from the American Journal of Surgery performed a meta-analysis of outcomes, and found that whether lap or open, the outcomes were generally similar. Here though, they do say that the TAPP method ( ) has a higher risk of recurrence compared with TEP ().
Have a read of it yourself over here – what technique do you use?