Can ventral TAPP achieve favorable outcomes in minimally invasive ventral hernia repair? A systematic review and meta-analysis

Maatouk, Mohamed; Kbir, Ghassen Hamdi; Mabrouk, A. Ben; Rezgui, B. Dridi; Dhaou, Anis Ben; Daldoul, S.; Sayari, S.; Haouet, Karim; Moussa, Mounir Ben

doi:10.1007/s10029-022-02709-4

Cited by 9 publications

(3 citation statements)

References 30 publications

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“…It is verified that the method is simple to replicate and workable at a public hospital [13,14]. vTAPP appears to be a safe and effective therapy for VHR, superior to or comparable to other minimally invasive methods in terms of perioperative characteristics and short-term outcomes [15].…”

Section: Valid Options For Mas In Vhmentioning

confidence: 81%

Ventral hernia repair in India: a Delphi consensus

Chowbey,

Wadhawan,

Subramanian

et al. 2024

Hernia

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Purpose While research on inguinal hernias is well-documented, ventral/incisional hernias still require investigation. In India, opinions on laparoscopic ventral hernia repair (LVHR) techniques are contested. The current consensus aims to standardize LVHR practice and identify gaps and unfulfilled demands that compromise patient safety and therapeutic outcomes. Methods Using the modified Delphi technique, panel of 14 experts (general surgeons) came to a consensus. Two rounds of consensus were conducted online. An advisory board meeting was held for the third round, wherein survey results were discussed and the final statements were decided with supporting clinical evidence. Results Experts recommended intraperitoneal onlay mesh (IPOM) plus/trans-abdominal retromuscular/extended totally extraperitoneal/mini- or less-open sublay operation/transabdominal preperitoneal/trans-abdominal partial extra-peritoneal/subcutaneous onlay laparoscopic approach/laparoscopic intracorporeal rectus aponeuroplasty as valid minimal access surgery (MAS) options for ventral hernia (VH). Intraperitoneal repair technique is the preferred MAS procedure for primary umbilical hernia < 4 cm without diastasis; incisional hernia in the presence of a vertical single midline incision; symptomatic hernia, BMI > 40 kg/m2, and defect up to 4 cm; and for MAS VH surgery with grade 3/4 American Society of Anaesthesiologists. IPOM plus is the preferred MAS procedure for midline incisional hernia of width < 4 cm in patients with a previous laparotomy. Extraperitoneal repair technique is the preferred MAS procedure for L3 hernia < 4 cm; midline hernias < 4 cm with diastasis; and M5 hernia. Conclusion The consensus statements will help standardize LVHR practices, improve decision-making, and provide guidance on MAS in VHR in the Indian scenario.

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Section: Valid Options For Mas In Vhmentioning

confidence: 81%

Ventral hernia repair in India: a Delphi consensus

Chowbey,

Wadhawan,

Subramanian

et al. 2024

Hernia

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“…1 Laparoscopic TAPP repair offers several advantages over conventional hernia repair, including less pain, less surgical trauma, and faster return to daily activities. 2,3 Patients are encouraged to resume routine activities as soon as they feel comfortable. An additional benefit of the TAPP inguinal hernia repair technique is that it facilitates detection of bilateral hernias.…”

Section: Introductionmentioning

confidence: 99%

Comparison of modified tumescent and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective clinical study

Hu,

Zhang,

Wang

et al. 2024

J Int Med Res

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Objective Laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair poses certain challenges to less experienced surgeons. This study was performed to compare the clinical outcomes of modified tumescent laparoscopic TAPP (MT-TAPP) inguinal hernia repair versus conventional laparoscopic TAPP (CL-TAPP) inguinal hernia repair. Methods We retrospectively analyzed the perioperative data of patients with inguinal hernias who underwent either MT-TAPP repair (n = 57) or CL-TAPP repair (n = 54) at the General Surgery Department of Nanjing Yimin Hospital from November 2019 to June 2023. Results The durations of the total operation and the preperitoneal space dissection were shorter in the MT-TAPP than CL-TAPP group. The estimated blood loss volume was lower in the MT-TAPP than CL-TAPP group. The visual analogue scale scores recorded at the 12- and 24-hour postoperative time points showed significantly greater reductions in the MT-TAPP than CL-TAPP group. Conclusions Using liquid injection and gauze dissection is both safe and practical. This technique results in a shortened total operation time, less time spent on preperitoneal space dissection, decreased estimated blood loss, and less severe postoperative pain.

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“…Closure of the fascial defect is recommended when possible, resulting in less recurrence, seroma formation, and bulging [ 51 , 52 ]. Intra-peritoneal onlay mesh may result in more short-term disadvantages such as increased postoperative pain and a longer hospital stay [ 53 , 54 ] compared to extraperitoneal mesh placement. It might also lead to an increase in long-term disadvantages such as an increased risk of visceral damage and increased intraperitoneal adhesion formation, potentially leading to small bowel obstruction, mesh infection, or fistula formation [ 55 ].…”

Section: Introductionmentioning

confidence: 99%

Primary Lumbar Hernia, Review and Proposals for a Standardized Treatment

Heemskerk,

Leijtens,

van Steensel

2023

J. Abdom. Wall Surg.

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A lumbar abdominal wall hernia is a protrusion of intraperitoneal or extraperitoneal contents through a weakness in the posterior abdominal wall, usually through the superior or inferior lumbar triangle. Due to its rare occurrence, adequate knowledge of anatomy and methods for optimal diagnosis and treatment might be lacking with many surgeons. We believe a clear understanding of anatomy, a narrative review of the literature and a pragmatic proposal for a step-by-step approach for treatment will be helpful for physicians and surgeons confronted with this condition. We describe the anatomy of this condition and discuss the scarce literature on this topic concerning optimal diagnosis and treatment. Thereafter, we propose a step-by-step approach for a surgical technique supported by intraoperative images to treat this condition safely and prevent potential pitfalls. We believe this approach offers a technically easy way to perform effective reinforcement of the lumbar abdominal wall, offering a low recurrence rate and preventing important complications. After meticulously reading this manuscript and carefully following the suggested approach, any surgeon that is reasonably proficient in minimally invasive abdominal wall surgery (though likely not in lumbar hernia surgery), should be able to treat this condition safely and effectively. This manuscript cannot replace adequate training by an expert surgeon. However, we believe this condition occurs so infrequently that there is likely to be a lack of real experts. This manuscript could help guide the surgeon in understanding anatomy and performing better and safer surgery.

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Can ventral TAPP achieve favorable outcomes in minimally invasive ventral hernia repair? A systematic review and meta-analysis

Cited by 9 publications

References 30 publications

Ventral hernia repair in India: a Delphi consensus

Ventral hernia repair in India: a Delphi consensus

Comparison of modified tumescent and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective clinical study

Primary Lumbar Hernia, Review and Proposals for a Standardized Treatment

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