Table 3.
Outcome of RCTs comparing TEP repair of primary unilateral inguinal hernia in men vs TAPP repair
| Author | Patients | Postoperative complications | Early postoperative pain | Analgesic consumption | Sick leave/return to work | Return to normal physical activity/life/domestic activity | Chronic pain | Recurrence | Cost |
|---|---|---|---|---|---|---|---|---|---|
| Butler [51] |
n = 22 TEP n = 22 TAPP |
– | No significant difference | No significant difference | Average number 12 days vs 12 days (ns) | – | – | 4.5% for TEP and TAPP (ns) | Minimal higher ($ 125) for TEP |
| Hamza [39] |
n = 25 TEP; n = 25 TAPP |
No significant difference |
Pain scores 6 h postoperative: TEP 4.8 ± 2.33 TAPP 5.8 ± 1.6 (ns) |
– |
TEP mean 13.2 days, TAPP mean 14.9 days (ns) |
TEP mean 7.5 days, TAPP mean 9.8 days (ns) |
– | 4.0% for TEP and TAPP (ns) | – |
| Gong [52] |
n = 52 TEP n = 50 TAPP |
TEP 13.5% TAPP 12.0% (ns) |
TEP pain score 24 h postoperative 1.7 ± 0.7 TAPP pain score 24 h postoperative 1.6 ± 0.7 (ns) TEP pain score 1 week postoperative 0.3 ± 0.5 TAPP pain score 1 week postoperative 0.3 ± 0.7 (ns) |
– | – |
TEP 6.6 ± 1.5 days TAPP 6.6 ± 1.7 days (ns) |
– | – | No significant difference between TEP and TAPP |
| Günal [60] |
n = 40 TEP n = 39 TAPP |
TEP 7.5% TAPP 5.1% (ns) |
Pain scores 6 h postoperative: TEP 5.5 ± 1.2 TAPP 6 ± 1.4 48 h postoperative: TEP 3.3 ± 1.2 TAPP 3.25 ± 1 |
– | – | – | – |
TEP 0% TAPP 2.6% (ns) |
– |