Exploring the application of the TAPP procedure for the treatment of upper abdominal ventral hernias.

PURPOSE: To evaluate the feasibility, safety, and perioperative risk profile of the transabdominal preperitoneal (TAPP) approach in the surgical repair of upper abdominal ventral hernias.

METHODS

A retrospective cohort analysis was conducted on patients who underwent laparoscopic TAPP repair for upper abdominal ventral hernias at a single institution between March 2019 and July 2024. All patients were followed for at least 12 months postoperatively. Demographic data, hernia characteristics, operative details, and postoperative outcomes were analyzed.

RESULTS

The TAPP procedure was successfully performed on 58 patients. Hernia localization included the M1 zone in 42 cases (72.4%) and the M2 zone in 16 cases (27.6%). In patients with follow-up exceeding 12 months, seroma formation occurred in 3 patients (5.2%). No additional postoperative complications, mesh infections, or hernia recurrences were observed. Patient-reported satisfaction scores indicated favorable functional recovery and cosmetic outcomes.

CONCLUSION

Laparoscopic TAPP repair represents a safe, effective, and anatomically sound technique for the management of upper abdominal ventral hernias, demonstrating low morbidity and high patient satisfaction.