Abordaje TAPP versus TEP en hernia inguinal unilateral. Experiencia de un Centro de Tercer Nivel

género, tipo de hernia y comorbilidades. De la cirugía se registró el tipo de técnica, el sangrado y la duración operatoria. Las complicaciones posoperatorias, el dolor posope ratorio durante la hospitalización y la duración de la misma se unificaron con los datos del seguimiento hasta los seis meses. Resultados: De un total de 100 pacientes con criterios de inclusión, 55 fueron sometidos a plastia tipo TAPP y 45 a abordaje TEP. Destaca de esta serie la tasa de complicacio nes menores totales 8%, infección de herida: 0%; recidivas: 3%. Neuralgia inguinal: 3%. Conclusión: El uso de las técnicas laparoendoscópicas TAPP y TEP permite un abordaje seguro, eficaz y reproducible en nuestro medio para la reparación de hernias inguinales unilaterales con resultados comparables con los descritos en la literatura internacional. Palabras clave: Plastia inguinal unilateral, laparoendoscópica, transab dominal preperitoneal, total extraperitoneal. ABSTRACT Introduction: Inguinal repair stands as one of the most common procedures worldwide with an estimate of 20 million procedures annually. Until today, there is no consensus about which technique should be used systematically. Laparoendoscopic techniques for inguinal repair offers advantages such as less postoperatory pain, less local complication rates, better cosmetic results and early comeback to work activities. Material and methods: Retrospective study with the surgical agenda from two experienced surgeons in the field of laparoendoscopic inguinal hernia repair. Both teams performed both TAPP and TEP approaches during the period of time between January 2015 and December 2019. Age, gender, hernia characteristics and comorbidities were documented. Technical aspects, blood loss and operatory time were taken from surgery reports. Postoperatory complications, pain during hospital stay, and duration of the latter, were taken into consideration with follow-up data up to six months. Results: From a total of 100 patients meeting the inclusion criteria, 55 underwent TAPP repair and 45 underwent TEP approach. From this series we get 8% of total minor complications, 0% with wound infection, 3% with relapse and 3% with inguinal neuralgia. Conclusion: Usage of TAPP and TEP laparoendoscopic techniques allows a safe, effective and replicable approach towards inguinal hernia repair with comparable results with those described in international literature.