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Ielpo. Mini-invasive Surg 2021;5:10 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2021.01

Technical Note Open Access

Mastering TAPP inguinal hernia repair-tips and
tricks

Benedetto Ielpo

General Surgery Department, HPB unit, University Hospital Parc Salut Mar, Barcelona 08001, Spain.
Correspondence to: Dr. Benedetto Ielpo, General Surgery Department, HPB unit, University Hospital Parc Salut Mar, Passeig
Marítim 25-29, Barcelona 08001, Spain. E-mail: ielpo.b@gmail.com

How to cite this article: Ielpo B. Mastering TAPP inguinal hernia repair-tips and tricks. Mini-invasive Surg 2021;5:10.
http://dx.doi.org/10.20517/2574-1225.2021.01

Received: 6 Jan 2021 First Decision: 27 Jan 2021 Revised: 1 Feb 2021 Accepted: 3 Feb 2021 Published: 9 Mar 2021

Academic Editor: William W. Hope Copy Editor: Xi-Jun Chen Production Editor: Yue-Yue Zhang

Abstract
Laparoscopic minimally invasive surgery is increasing, and in the last decade some modifications of the technique
have been introduced, especially concerning mesh type, fixation, and peritoneal closure, which are herein
individually discussed. Currently, a standard unique technique is still missing, and modifications of the technique
might be useful in challenging cases, such as the use of fibrine glue to both fix the mesh and close the peritoneum.
The aim of this technical note essay is to discuss and update some tips and tricks as well as recent modifications
of the trans-abdominal preperitoneal (TAPP) repair of groin hernia.

Keywords: Inguinal hernia, trans-abdominal preperitoneal, laparoscopic surgery

INTRODUCTION
Over the last decade, laparoscopic inguinal hernia repair has gained worldwide popularity due to several
advantages, in particular the faster recovery and reduced postoperative pain compared to the open
[1-3]
approach with superior cost-effectivity . Since the description of the laparoscopic trans abdominal pre-
peritoneal (TAPP) repair, the technique has undergone several modifications, such as the mesh type and
fixation and the method to approximate the peritoneum, with the aim of making the procedure easier and
[3-5]
improving results . These modifications have also been included to face some challenging cases where
the standard procedure cannot be applied. Currently, it is important that training surgeons master these
modifications and the technique, including some tips and tricks, which is the aim of this technical note essay.

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
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