[Open mesh technique versus laparoscopic transabdominal preperitoneal (TAPP) approach in XXXX . Our experience].

@entity1 @entity169 @entity260 @entity547
BACKGROUND: In the last ten years the introduction of various open mesh and laparoscopic techniques has increased the interest in @entity169 surgery. Anyway controversy persists about the most effective @entity169 . The aim of this study was to compare the results of open mesh technique and laparoscopic transabdominal preperitoneal (TAPP) repair for @entity169 . @entity1 AND METHODS: We considered 584 @entity1 , 532 @entity1 and 52 @entity1 , between 19 and 86 years: 332 (56.8%) had open mesh repair and 252 (43.2%) laparoscopic TAPP repair of groin @entity547 . Operative time, complications, recurrences and time to normal activities were recorded in both groups (range follow-up 1-10 years). RESULTS: The median operative time was 71 min for open group and 92 min for TAPP group. No intraoperative complications were observed. @entity260 rate was 4,5% in @entity1 open group and 3% in TAPP group. The recurrence rate was less than 1% in both groups (0,6% for open repair and 0,4% for laparoscopic repair). Significant difference was observed in the median time to return to normal activities: 9,8 days in TAPP group versus 13,4 days in open approach. CONCLUSIONS: Our experience confirmed the safety and effectiveness of laparoscopic transabdominal preperitoneal (TAPP) approach to @entity169 as excellent alternative to conventional surgery. The reduction of operative time, complications and recurrences is correlated to the surgeon's experience and learning curve.
