Bittner R
Hernienzentrum Rottenburg, Winghofer Medicum Plus, Röntgenstr. 38, 72108, Rottenburg a.N., Deutschland.
Chirurg. 2017 Apr;88(4):281-287. doi: 10.1007/s00104-017-0387-2.
Transabdominal preperitoneal patch plasty (TAPP) is the most frequently used surgical technique for repair of an inguinal hernia in German hospitals (Federal Statistical Office, Wiesbaden). Since its initial description in 1992 by Arregui the technique has been further developed and completely standardized, so that TAPP is now suitable as an operation performed by trainee surgeons despite the complex technique. The individual operation stages have been described by many experts mainly based on their own experiences, training with other experts, participation in meetings with live or video demonstrations and reports in the literature. A scientific explanation for the individual operation steps, i.e. why a certain technique is given preference in comparison to other techniques, is not usually communicated. In this article for the first time not only the operation steps of TAPP are described in detail but also the scientific reasons (evidence) are given.
经腹腹膜前补片修补术（TAPP）是德国医院（威斯巴登联邦统计局）修复腹股沟疝最常用的外科技术。自1992年阿雷吉首次描述该技术以来，它得到了进一步发展并完全标准化，因此尽管技术复杂，TAPP现在仍适合由实习外科医生进行操作。许多专家主要根据自己的经验、与其他专家的培训、参加现场或视频演示会议以及文献报道描述了各个手术阶段。对于各个手术步骤，即与其他技术相比为何优先采用某种技术，通常并未给出科学解释。在本文中，不仅详细描述了TAPP的手术步骤，还给出了科学依据（证据）。
