Laparoscopic Trans Abdominal Pre Peritoneal (TAPP) Inguinal hernioplasty
Dr Atul Shah
?First reported 1991
?The Trans-abdominal pre peritoneal(TAPP) procedure was introduced by Arregui in 1992
?Dissection of entire inguinal floor with repair of direct, indirect & femoral hernia without tension
Initial laparoscopy (before dissection) displays the full anatomy and pathology on both sides.
• Orientation is much easier.
• There is a much larger working space.
• It is much easier for beginners – indeed, many people who have been encouraged to start with TEP give up trying.