{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:21:41Z","timestamp":1787764901848,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Inguinal hernia repair remains one of the most common surgical procedures performed in the elective setting. trans abdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) are the two well-established laparoscopic methods of inguinal hernia repair. However, doubts still exist about their relative merits and risks. In this study, we are sharing our observations on the comparative analysis of TAPP versus TEP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This retrospective analysis was carried out on 105 cases of inguinal hernia, repaired laparoscopically over the last 2 years. Patients within the age group of 20\u201360 years, operated for primary unilateral inguinal hernia using either TAPP or TEP were included in this study. All the repairs were done by a single surgeon in the same unit, having more than 3 years of experience in laparoscopic hernia repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 105 patients, who underwent laparoscopic hernia repair, 53 were operated on by TAPP and 52 by TEP. There was no significant visceral or vascular injury in either group. The mean duration of surgery in the TAPP group was 103.43 \u00b1 12.24, and in TEP group 89.83 \u00b1 14.25 min (P &lt; 0.0001) Mean hospital stay was 2.47 \u00b1 0.79 and 2.0 \u00b1 0.65 days in TAPP and TEP groups (P = 0.001). Patients in the TAPP group were able to return to their work after 14.30 \u00b1 1.60 and in TEP after 13.73 \u00b1 1.24 days (P = 0.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both TAPP and TEP are well-established methods for laparoscopic hernia repair. In terms of outcome, we observed that TEP requires less operative time and is associated with a relatively shorter hospital stay and earlier return to work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_183_24","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T17:02:00Z","timestamp":1753290120000},"page":"755-758","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["An Observational Study on the Comparative Analysis of Trans Abdominal Preperitoneal and Totally Extraperitoneal: A Single-center Experience of 105 Patients"],"prefix":"10.4103","volume":"24","author":[{"given":"Manoj","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of General Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashesh Kumar","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of General Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqbal","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhirendra","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,23]]},"reference":[{"key":"R1-20251015","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1016\/S0140-6736(03)14746-0","article-title":"Hernias:Inguinal and incisional","volume":"362","author":"Kingsnorth","year":"2003","journal-title":"Lancet"},{"key":"R2-20251015","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta9140","article-title":"Laparoscopic surgery for inguinal hernia repair:Systematic review of effectiveness and economic evaluation","volume":"9","author":"McCormack","year":"2005","journal-title":"Health Technol Assess"},{"key":"R3-20251015","doi-asserted-by":"crossref","first-page":"3026","DOI":"10.1007\/s00464-010-1079-x","article-title":"Laparoscopic inguinal hernia repair:Gold standard in bilateral hernia repair?Results of more than 2800 patients in comparison to literature","volume":"24","author":"Wauschkuhn","year":"2010","journal-title":"Surg Endosc"},{"key":"R4-20251015","first-page":"CD004703","article-title":"Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair","volume":"2005","author":"Wake","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"R5-20251015","first-page":"53","article-title":"Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach:A preliminary report","volume":"2","author":"Arregui","year":"1992","journal-title":"Surg Laparosc Endosc"},{"key":"R6-20251015","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1007\/BF00591232","article-title":"Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach","volume":"7","author":"McKernan","year":"1993","journal-title":"Surg Endosc"},{"key":"R7-20251015","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10029-007-0281-9","article-title":"Total extra-peritoneal repair of groin hernia:Prospective evaluation at a tertiary care center","volume":"12","author":"Misra","year":"2008","journal-title":"Hernia"},{"key":"R8-20251015","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s004640000045","article-title":"Scrotal hernias:A contraindication for an endoscopic procedure?Results of a single-institution experience in transabdominal preperitoneal repair","volume":"14","author":"Leibl","year":"2000","journal-title":"Surg Endosc"},{"key":"R9-20251015","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4103\/ijawhs.ijawhs_85_21","article-title":"History of inguinal hernia repair, laparoendoscopic techniques, implementation in surgical praxis, and future perspectives:considerations of two pioneers","volume":"4","author":"Bittner","year":"2021","journal-title":"Int J Abdom Wall Hernia Surg"},{"key":"R10-20251015","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4103\/ijawhs.ijawhs_10_19","article-title":"Teaching and learning of laparoendoscopic hernia surgery in India:A challenge \u2013Problems and solutions","volume":"2","author":"Misra","year":"2019","journal-title":"Int J Abdom Wall Hernia Surg"},{"key":"R11-20251015","first-page":"CD008954","article-title":"Mesh fixation techniques for laparoscopic inguinal hernia repair in adults","volume":"2017","author":"Gupta","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"R12-20251015","doi-asserted-by":"crossref","first-page":"2373","DOI":"10.1007\/s00464-013-2797-7","article-title":"Aprospective, randomized comparison of long-term outcomes:Chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair","volume":"27","author":"Bansal","year":"2013","journal-title":"Surg Endosc"},{"key":"R13-20251015","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.amjsurg.2012.10.041","article-title":"Transabdominal preperitoneal versus totally extraperitoneal repair of inguinal hernia:A meta-analysis of randomized studies","volume":"206","author":"Antoniou","year":"2013","journal-title":"Am J Surg"},{"key":"R14-20251015","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10029-017-1668-x","article-title":"International guidelines for groin hernia management","volume":"22","year":"2018","journal-title":"Hernia"},{"key":"R15-20251015","first-page":"226","article-title":"(AND.). Classification of Chronic Pain:Description of chronic pain syndromes and definition of pain terms","volume":"3","author":"Merskey","year":"1986","journal-title":"Pain"},{"key":"R16-20251015","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1093\/bja\/aei019","article-title":"Chronic postoperative pain:The case of inguinal herniorrhaphy","volume":"95","author":"Aasvang","year":"2005","journal-title":"Br J Anaesth"},{"key":"R17-20251015","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1097\/ALN.0b013e3181d31ff8","article-title":"Predictive risk factors for persistent postherniotomy pain","volume":"112","author":"Aasvang","year":"2010","journal-title":"Anesthesiology"},{"key":"R18-20251015","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1007\/s00464-002-8771-4","article-title":"Seroma following endoscopic extraperitoneal inguinal hernioplasty","volume":"17","author":"Lau","year":"2003","journal-title":"Surg Endosc"},{"key":"R19-20251015","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1007\/s001040051159","article-title":"Laparoscopic hernia therapy (TAPP) as a teaching operation","volume":"71","author":"Leibl","year":"2000","journal-title":"Chirurg"},{"key":"R20-20251015","doi-asserted-by":"crossref","first-page":"1947","DOI":"10.1007\/s00464-008-9897-9","article-title":"Total extraperitoneal (TEP) mesh repair of inguinal hernia in the developing world:Comparison of low-cost indigenous balloon dissection versus direct telescopic dissection:A prospective randomized controlled study","volume":"22","author":"Misra","year":"2008","journal-title":"Surg Endosc"},{"key":"R21-20251015","first-page":"147","article-title":"Amulticentric comparison of transabdominal versus totally extraperitoneal laparoscopic hernia repair using PARIETEX meshes","volume":"4","author":"Lepere","year":"2000","journal-title":"JSLS"},{"key":"R22-20251015","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1007\/s00464-018-6314-x","article-title":"Effects of transabdominal preperitoneal and totally extraperitoneal inguinal hernia repair:An update systematic review and meta-analysis of randomized controlled trials","volume":"33","author":"Chen","year":"2019","journal-title":"Surg Endosc"},{"key":"R23-20251015","doi-asserted-by":"crossref","first-page":"2773","DOI":"10.1007\/s00464-011-1799-6","article-title":"Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)","volume":"25","author":"Bittner","year":"2011","journal-title":"Surg Endosc"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_183_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:51:27Z","timestamp":1787763087000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_183_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,23]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_183_24","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,23]]},"assertion":[{"value":"2024-09-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}