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MIS Techniques: Lap TAPP and rTAPP

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The SAGES Manual of Hernia Surgery

Abstract

The transabdominal preperitoneal approach (TAPP) was described more than 25 years ago by several surgeons, and although the main principles are kept, there are several variations and details worth mentioning. Diverse technical details have emerged from formal research and surgical social media that are important for successful outcomes. While the TEP technique goes directly to the preperitoneal space, the TAPP technique reaches the same preperitoneal space after first entering the peritoneal cavity. Despite TAPP being considered as more invasive and taking longer to perform than TEP, it is surgically straightforward when it comes to understanding and learning the anatomy and the complexity of the repair; for this reason many surgeons see it as the first choice when learning MIS hernia repair.

Over the last three decades, the TAPP technique has evolved and has been refined, with successful innovations including central aspects like fixation and mesh types, but also creative and interesting (although never widely adopted) like combined approach, dissection aided by water, preperitoneal anesthetic injection to decrease pain, and self-expanding mesh. Therefore, we decided to include the more relevant steps proposed by many groups to reduce recurrences and minimize complications.

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Author information

Authors and Affiliations

  1. Surgical Andean Group, Lima, Peru

    Edmundo Inga-Zapata M.D., M.Sc, F.A.C.S.

  2. John Peter Smith Hospital, Fort Worth, TX, USA

    Fernando García M.D., F.A.C.S.

Authors
  1. Edmundo Inga-Zapata M.D., M.Sc, F.A.C.S.
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  2. Fernando García M.D., F.A.C.S.
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Editor information

Editors and Affiliations

  1. Emory University, Atlanta, GA, USA

    S. Scott Davis, Jr.

  2. Weill Med College At Cornell University, New York, NY, USA

    Gregory Dakin

  3. Stony Brook Surgical Associates, Centereach, NY, USA

    Andrew Bates

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© 2019 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

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Inga-Zapata, E., García, F. (2019). MIS Techniques: Lap TAPP and rTAPP. In: Davis, Jr., S., Dakin, G., Bates, A. (eds) The SAGES Manual of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-78411-3_30

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  • DOI: https://doi.org/10.1007/978-3-319-78411-3_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78410-6

  • Online ISBN: 978-3-319-78411-3

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