Assessing the learning curve in laparoscopic TAPP repair for emergency inguinal hernia: a comparative study with open repair.

Outcomes included operative time, intraoperative complications, pain scores, hospital stay, return to activity, recurrence, and learning curve analysis comparing early (first 18) vs. late (last 15) transabdominal preperitoneal cases.

Operative time was longer with transabdominal preperitoneal (98.3 ± 9.4vs.80.3 ± 11.4 min, p = 0.006), with a 6.1% conversion rate.

Visceral injuries were more common in transabdominal preperitoneal (15.2%vs.2.6%, p = 0.058), while vascular injuries were higher in open repair (10.5%vs.3.0%, p = 0.218).