TEP or TAPP: who, when, and how?

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2024-07-15 DOI:10.3389/fsurg.2024.1352196

A. Iossa, Giovanni Traumueller Tamagnini, Francesco De Angelis, Alessandra Micalizzi, Giulio Lelli, Giuseppe Cavallaro

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引用次数: 0

Abstract

Groin hernia repair is the most common procedure performed by general surgeons. The open mesh technique generally represents the main technique for an inguinal repair, but a different approach is often required. Laparoscopy was found to be the answer to minimizing the impact of the preperitoneal open techniques described by Nyhus and Stoppa. The introduction of the totally extraperitoneal hernia repair (TEP) and transabdominal preperitoneal repair (TAPP) in the early 1990s started a new chapter in groin hernia surgery. The minimally invasive techniques vs. open mesh, and then one against the other, soon became a hot topic among abdominal wall surgeons. With time, the number of procedures and indications increased and are still increasing. This review aims to provide an overview of the two main laparoscopic techniques for groin hernia repair, answering the following questions: Who should perform them? What is the learning curve required to minimize complications and optimize operative time? When is a minimally invasive approach indicated, and which one (both in elective and in emergency setting)? How are they performed? The standard techniques have been described in detail, and personal observations from an abdominal wall surgery referral center were added. The main reviews from the early 2000s up to date, which compared the techniques, were analyzed, and the results reported, confirming the comparable safety and efficacy of both these techniques.

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TEP 或 TAPP：谁、何时、如何？

腹股沟疝修补术是普外科最常见的手术。开放式网片技术通常是腹股沟疝修补术的主要技术，但通常需要采用不同的方法。Nyhus 和 Stoppa 所描述的腹膜前开放技术可将腹腔镜手术的影响降至最低。20 世纪 90 年代初，腹膜外疝修补术（TEP）和经腹膜前疝修补术（TAPP）的问世为腹股沟疝手术揭开了新的篇章。微创技术与开放式网片的对比，以及两者之间的对比很快成为腹壁外科医生的热门话题。随着时间的推移，手术的数量和适应症不断增加，目前仍在不断增加。本综述旨在概述腹股沟疝修补术的两种主要腹腔镜技术，回答以下问题：由谁来实施？最大限度减少并发症和优化手术时间所需的学习曲线是什么？什么情况下适合采用微创方法，以及哪种方法（包括择期手术和急诊手术）？如何进行微创手术？对标准技术进行了详细描述，并加入了来自腹壁外科转诊中心的个人观察。分析了从 2000 年代初至今对这两种技术进行比较的主要综述，并报告了结果，证实这两种技术的安全性和有效性相当。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.