From: Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review
Approach | Anterior approach | TAPP | TEP | TAPP plus anterior approach |
---|---|---|---|---|
Advantages | Simple and convenient, short operation time; prevents intraperitoneal tumor spreading | Accurate diagnosis, especially when intraperitoneal organs or tumors are incarcerated in inguinal hernia | Prevents adhesions in the abdominal cavity. Easier to separate HCN from the inguinal canal than TAPP | Accurate intraoperative diagnosis and quick resection of HCN; selectively treated for various HCNs |
Disadvantages | Intraperitoneal organs incarcerated in the inguinal canal are not easy to handle | Inferior epigastric vessels interfere with surgical field of vision; a patch may be needed | Intraperitoneal observation is not possible; a patch would be needed | A patch would be needed if HCN removed by TAPP |