Skip to main content

Table 1. The advantages and disadvantages of various surgical approaches

From: Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review


Anterior approach



TAPP plus anterior approach


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


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