Abstract

This retrospective study aimed to evaluate the safety, efficacy, and potential advantages of the Trans Abdominal Pre-Peritoneal (TAPP) approach using a three-dimensional (3D) mesh in laparoscopic inguinal hernia repair, based on an analysis of the first 50 cases performed at our institution. Methods: The study involved 50 patients who underwent the TAPP procedure with 3D mesh between 2021 and 2022. Key metrics assessed included operation time, postoperative pain, duration of hospital stay, early and late complications, and hernia recurrence rates. Results: Upon examining the cohort of 50 cases, the preponderance were males, comprising 92% of the sample, with an average age of 53 years. The median operative time, as shown in Table 1 and further broken down in Table 2, was recorded at 90 minutes. In the postoperative period, patients predominantly experienced mild discomfort, with the median Visual Analogue Scale (VAS) score reported at 3, indicating minimal pain. This manageable pain scale likely contributed to the brief median hospital stay of 2 days, as illustrated in Table 3. In terms of complications, early ones surfaced in 14% of patients and late complications emerged in 6% of cases, as delineated in Tables 1 and 3. During the follow-up period, no cases of hernia recurrence were observed. Conclusion: The study concludes that the TAPP technique utilizing a 3D mesh for laparoscopic inguinal hernia repair is an effective and safe surgical intervention, evidenced by minimal recurrence rates and manageable postoperative complications. However, larger randomized, controlled trials are needed to further validate these findings and compare this technique's effectiveness with other established approaches.

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