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Melnikov-Makarchuk K.Yu.

Pirogov Russian National Research Medical University

Sazhin I.V.

Pirogov Russian National Research Medical University

Alimov A.N.

Pirogov Russian National Research Medical University

Zazhogin D.O.

Pirogov Russian National Research Medical University

Zotova P.I.

Pirogov Russian National Research Medical University

Ivanova M.A.

Pirogov Russian National Research Medical University

Markin A.A.

Pirogov Russian National Research Medical University

Sobakina A.A.

Pirogov Russian National Research Medical University

Nechay T.V.

Pirogov Russian National Research Medical University

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

Authors:

Melnikov-Makarchuk K.Yu., Sazhin I.V., Alimov A.N., Zazhogin D.O., Zotova P.I., Ivanova M.A., Markin A.A., Sobakina A.A., Nechay T.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(1): 42‑49

DOI: 10.17116/hirurgia202401142

Read: 1878 times

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Table of contents

IS VTAPP FOR SMALL VENTRAL HERNIAS A POTENTIAL «GOLD STANDARD» FOR LESS THAN 24 HOURS HOSPITALIZATION?
IS VTAPP FOR SMALL VENTRAL HERNIAS A POTENTIAL «GOLD STANDARD» FOR LESS THAN 24 HOURS HOSPITALIZATION?

To cite this article:

Melnikov-Makarchuk KYu, Sazhin IV, Alimov AN, et al. . Is vTAPP for small ventral hernias a potential «gold standard» for less than 24 hours hospitalization? Pirogov Russian Journal of Surgery. 2024;(1):42‑49. (In Russ.)
https://doi.org/10.17116/hirurgia202401142

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate clinical efficacy and cost-effectiveness of vTAPP for small/M3W1 hernias compared to IPOM.

MATERIAL AND METHODS

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.

RESULTS

We analyzed 179 patients: vTAPP (n=132) and IPOM groups (n=47). The vTAPP group was characterized by significantly shorter hospitals-stay (Q1—Q3: 8—70 hours, p<0.001), fewer relapses (n=2, p=0.047) and slightly longer surgery (Q1—Q3: 40—80 min, p=0.037). Cost-effectiveness analysis revealed 3.39 times more profitable vTAPP compared to IPOM.

CONCLUSION

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.

Keywords:

umbilical hernia
small umbilical hernia
surgical treatment of umbilical hernia
vTAPP

Authors:

Melnikov-Makarchuk K.Yu.

Pirogov Russian National Research Medical University

Sazhin I.V.

Pirogov Russian National Research Medical University

Alimov A.N.

Pirogov Russian National Research Medical University

Zazhogin D.O.

Pirogov Russian National Research Medical University

Zotova P.I.

Pirogov Russian National Research Medical University

Ivanova M.A.

Pirogov Russian National Research Medical University

Markin A.A.

Pirogov Russian National Research Medical University

Sobakina A.A.

Pirogov Russian National Research Medical University

Nechay T.V.

Pirogov Russian National Research Medical University

Received:

25.05.2023

Accepted:

10.06.2023

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References:

  1. Henriksen NA, Montgomery A, Kaufmann R, et al; European and Americas Hernia Societies (EHS and AHS). Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society. British Journal of Surgery. 2020;107(3):171-190.  https://doi.org/10.1002/bjs.11489
  2. Muysoms FE, Miserez M, Berrevoet F, et al. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407-414.  https://doi.org/10.1007/s10029-009-0518-x
  3. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003;362(9395):1561-1571. https://doi.org/10.1016/S0140-6736(03)14746-0
  4. Maatouk M, Kbir GH, Mabrouk A, et al. Can ventral TAPP achieve favorable outcomes in minimally invasive ventral hernia repair? A systematic review and meta-analysis. Hernia. 2023;27(4):729-739.  https://doi.org/10.1007/s10029-022-02709-4
  5. Bittner R, Bain K, Bansal VK, et al. Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-Part A. Surgical Endoscopy. 2019;33(10):3069-3139. https://doi.org/10.1007/s00464-019-06907-7
  6. Nevo N, Goldstein AL, Staierman M, et al. eTEP inferior access with tailored retromuscular dissection for small to mid-sized umbilical hernia repair with or without inguinal hernia: early experience. Hernia. 2022;26(6):1491-1499. https://doi.org/10.1007/s10029-022-02649-z
  7. Muysoms FE, Antoniou SA, Bury K, et al; European Hernia Society. European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia. 2015;19(1):1-24.  https://doi.org/10.1007/s10029-014-1342-5
  8. Muysoms F, Van Cleven S, Pletinckx P, et al. Robotic transabdominal retromuscular umbilical prosthetic hernia repair (TARUP): observational study on the operative time during the learning curve. Hernia. 2018;22(6):1101-1111. https://doi.org/10.1007/s10029-018-1825-x
  9. Holihan JL, Nguyen DH, Nguyen MT, et al. Mesh Location in Open Ventral Hernia Repair: A Systematic Review and Network Meta-analysis. World Journal of Surgery. 2016;40(1):89-99.  https://doi.org/10.1007/s00268-015-3252-9
  10. Pakhomova RA, Kochetova LV, Babadzhanyan AM, et al. «Ideal» navel in abdominoplasty. Moscow Surgical Journal. 2023;(1):43-49. (In Russ.).
  11. Aslanov AD, Logvina OE, Sakhtueva LM, et al. Comparative evaluation of effectiveness of traction and traditional hernioplasty. Moscow Surgical Journal. 2020;(2):61-68. (In Russ.).
  12. Bisgaard T, Kaufmann R, Christoffersen MW, et al. Lower Risk of Recurrence After Mesh Repair Versus Non-Mesh Sutured Repair in Open Umbilical Hernia Repair: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Scandinavian Journal of Surgery. 2019;108(3):187-193.  https://doi.org/10.1177/1457496918812208
  13. Shrestha D, Shrestha A, Shrestha B. Open mesh versus suture repair of umbilical hernia: Meta-analysis of randomized controlled trials. International Journal of Surgery. 2019;62:62-66.  https://doi.org/10.1016/j.ijsu.2018.12.015
  14. Bittner R, Bingener-Casey J, Dietz U, et al; International Endohernia Society (IEHS). Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)-part 1. Surgical Endoscopy. 2014;28(1):2-29.  https://doi.org/10.1007/s00464-013-3170-6
  15. Kennedy M, Barrera K, Akcelik A, et al. Robotic TAPP Ventral Hernia Repair: Early Lessons Learned at an Inner City Safety Net Hospital. JSLS. 2018;22(1):e2017.00070. https://doi.org/10.4293/JSLS.2017.00070
  16. Megas IF, Benzing C, Winter A, et al. A propensity-score matched analysis of ventral-TAPP vs. laparoscopic IPOM for small and mid-sized ventral hernias. Comparison of perioperative data, surgical outcome and cost-effectiveness. Hernia. 2022;26(6):1521-1530. https://doi.org/10.1007/s10029-022-02586-x
  17. Skolimowska-Rzewuska M, Romańczuk M, Mitura B, et al. Laparoscopic transabdominal preperitoneal repair (umbilical TAPP) versus open ventral patch repair for medium size umbilical hernias in overweight and obese patients. Wideochir Inne Tech Maloinwazyjne. 2022;17(1):170-178.  https://doi.org/10.5114/wiitm.2021.110415
  18. Capitano S. Laparoscopic transabdominal preperitoneal approach for umbilical hernia with rectus diastasis. Asian Journal of Endoscopic Surgery. 2017;10(3):334-335.  https://doi.org/10.1111/ases.12365
  19. Loh C, Tan L, Wijerathne S, et al. Open versus laparoscopic intraperitoneal on-lay mesh repair: A comparison of outcomes in small ventral hernia. Asian Journal of Surgery. 2023;46(2):712-717.  https://doi.org/10.1016/j.asjsur.2022.06.153
  20. Christoffersen MW, Jørgensen LN, Jensen KK. Less postoperative pain and shorter length of stay after robot-assisted retrorectus hernia repair (rRetrorectus) compared with laparoscopic intraperitoneal onlay mesh repair (IPOM) for small or medium-sized ventral hernias. Surgical Endoscopy. 2023;37(2):1053-1059. https://doi.org/10.1007/s00464-022-09608-w
  21. Basukala S, Tamang A, Rawal SB, et al. Comparison of outcomes of laparoscopic hernioplasty with and without fascial repair (IPOM-Plus vs IPOM) for ventral hernia: A retrospective cohort study. Annals of Medicine and Surgery. 2022;80:104297. https://doi.org/10.1016/j.amsu.2022.104297
  22. Arunagiri V, Padmanabhan R, Mayandi P. A short term analysis of surgical management of umbilical and paraumbilical hernia. Turkish Journal of Surgery. 2018;34(1):21-23.  https://doi.org/10.5152/turkjsurg.2017.3693
  23. Maatouk M, Kbir GH, Mabrouk A, et al. Can ventral TAPP achieve favorable outcomes in minimally invasive ventral hernia repair? A systematic review and meta-analysis. Hernia. 2023;27(4):729-739.  https://doi.org/10.1007/s10029-022-02709-4
  24. Gaykovaya LB, Burbello AT, Ermakov AI, et al. clinical and economic analysis in assessment of health care technologies in health care institutions. Pharmacoeconomics. 2014;7(1):9-13. (In Russ.).
  25. Malik S, Wijerathne S. Laparoscopic Intraperitoneal Onlay Mesh (IPOM) and IPOM Plus. Mastering Endo-Laparoscopic Thoracoscopic Surg. Springer, Singapore; 2023;417-425. 
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