Is vTAPP for small ventral hernias a potential «gold standard» for less than 24 hours hospitalization?

• Published in: Hirurgija (Moskva) no. 1; p. 42
• Main Authors: Melnikov-Makarchuk, K Y, Sazhin, I V, Alimov, A N, Zazhogin, D O, Zotova, P I, Ivanova, M A, Markin, A A, Sobakina, A A, Nechay, T V
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2024
• Subjects: small umbilical hernia; surgical treatment of umbilical hernia; vTAPP; umbilical hernia
• ISSN: 0023-1207
• DOI: 10.17116/hirurgia202401142

To evaluate clinical efficacy and cost-effectiveness of vTAPP for small/M3W1 hernias compared to IPOM. We retrospectively analyzed a prospectively recruited group of patients. Study objects were patients undergoing ventral laparoscopic transabdominal preperitoneal hernia repair (vTAPP) for primary Midline/Lateral Small hernias up to 2 cm. The control group comprised patients after IPOM procedure. We analyzed 179 patients: vTAPP ( =132) and IPOM groups ( =47). The vTAPP group was characterized by significantly shorter hospitals-stay (Q1-Q3: 8-70 hours, <0.001), fewer relapses ( =2, =0.047) and slightly longer surgery (Q1-Q3: 40-80 min, =0.037). Cost-effectiveness analysis revealed 3.39 times more profitable vTAPP compared to IPOM. Laparoscopic preperitoneal hernia repair is a safe and effective method not requiring special tools and consumables. This approach is applicable as an outpatient (or <24h hospital-stay) method.