Surgery>>>>>Inguinal Hernias
Question 12#

The outcome found more commonly with TAPP repair compared with TEP repair is:

A. Length of stay
B. Time to recovery
C. Risk of intra -abdominal injuries
D. Higher short-term recurrence rates

Correct Answer is C

Comment:

Although controversy persists regarding the utility of TEP versus TAPP, reviews to date find no significant differences in operative duration, length of stay, time to recovery, or short-term recurrence rate between the two approaches. In TAPP repair, the risk of intra-abdominal injury is higher than in TEP repair. This finding prompted the International Endohernia Society (IEHS) to recommend that TAPP should only be attempted by surgeons with sufficient experience. A Cochrane systematic review found that rates of port -site hernias and visceral injuries were higher for the TAPP technique, whereas TEP may be associated with a higher rate of conversion to an alternative approach; however, neither finding was sufficiently compelling to recommend one technique over the other.