ArticleHernia : the journal of hernias and abdominal wall surgery2022
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.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 21 citations in OpenAlex.
- ICG-guided bowel preservation during emergency TAPP repair for incarcerated Spigelian hernia: a case report.Journal of surgical case reports · 2026Article
- Ventral transabdominal preperitoneal plus repair for primary ventral hernia: How do I do it?Journal of minimal access surgery · 2026Article
- Article
- Comparative outcomes of SCOM/SCOLA vs. IPOM PLUS in Umbilical and para-umbilical hernia repairs.Frontiers in surgery · 2026Article
- Laparoscopic ventral TAPP versus IPOM for primary umbilical hernia repair: why use a sledgehammer to crack a nut?Journal of abdominal wall surgery : JAWS · 2026Article
- Robotic repair of off-midline abdominal wall hernias: a single institution consecutive case series.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Robotic transabdominal preperitoneal versus laparoscopic intraperitoneal onlay mesh plus repair for small to medium primary ventral hernias: a propensity-matched cohort study.Journal of robotic surgery · 2025Article
- What is the preferred mesh placement in primary ventral hernia repair? An international survey of 442 surgeons.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Combined open-robotic 'sandwich' repair for flank hernias: a case series of 10 patients.Surgical endoscopy · 2025Article
- Laparoscopic intra-peritoneal onlay mesh plus versus robotic transabdominal pre-peritoneal for primary ventral hernias: Our technique and outcomes.Journal of minimal access surgery · 2025Article
- Laparosocpic "Intraperitoneal Underlay Mesh"-Plus: A Viable Approach for Incisional-Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Review
- Comparative Study Between Laparoscopic Transabdominal Preperitoneal Repair Plus and Laparoscopic Intraperitoneal Onlay Repair Plus of Umbilical and Paraumbilical Hernia.Journal of abdominal wall surgery : JAWS · 2025Article
- Article
- Experimental evaluation of the use of starch and carboxymethylcellulose in the prevention of intraperitoneal adhesions in hernia surgery with coated meshes.Acta cirurgica brasileira · 2023Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic techniques have been used and refined in hernia surgery for several years. The aim of this study was to compare an established method such as laparoscopic intra-peritoneal onlay mesh repair (lap. IPOM) with ventral Transabdominal Preperitoneal Patch Plasty (ventral-TAPP) in abdominal wall hernia repair.
methodsPatient-related data of 180 laparoscopic ventral hernia repairs between June 2014 and August 2020 were extracted from our prospectively maintained database. Of these patients, 34 underwent ventral-TAPP and 146 lap. IPOM. After excluding hernias with a defect size > 5 cm and obtaining balanced groups with propensity-score matching, a comparative analysis was performed in terms perioperative data, surgical outcomes and cost-effectiveness.
resultsPropensity-score matching suggested 27 patients in each of the two cohorts. The statistical evaluation showed that intake of opiates was significantly higher in the lap. IPOM group compared to ventral-TAPP patients (p = 0.001). The Visual Analogue Scale (VAS) score after lap. IPOM repair was significantly higher at movement (p = 0.008) and at rest (p = 0.023). Also, maximum subjective pain during hospital stay was significantly higher in the lap. IPOM group compared to ventral-TAPP patients (p = 0.004). No hernia recurrence was detected in either group. The material costs of ventral-TAPP procedure (34.37 ± 0.47 €) were significantly lower than those of the lap. IPOM group (742.57 ± 128.44 € p = 0.001). The mean operation time was 65.19 ± 26.43 min in the lap. IPOM group and 58.65 ± 18.43 min in the ventral-TAPP cohort. Additionally, the length of hospital stay in the lap. IPOM cohort was significantly longer (p = 0.043).
conclusionVentral-TAPP procedures represent an alternative technique to lap. IPOM repair to reduce the risk of complications related to intra-peritoneal position of mesh and fixating devices. In addition, our study showed that postoperative pain level, material costs and hospital stay of the ventral-TAPP cohort are significantly lower compared to lap. IPOM patients.
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