Is vTAPP for small ventral hernias a potential «gold standard» for less than 24 hours hospitalization?
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Khirurgiia - (2024), 1 vom: 23., Seite 42-49 |
| Sprache: |
Russisch |
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| Weiterer Titel: |
Operatsiya vTAPP pri nebol'shikh ventral'nykh gryzhakh — potentsial'nyi «zolotoi standart» dlya dosutochnoi gospitalizatsii? |
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| Beteiligte Personen: |
Melnikov-Makarchuk, K Y [VerfasserIn] |
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| Links: |
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| Themen: |
English Abstract |
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| Anmerkungen: |
Date Completed 24.01.2024 Date Revised 24.01.2024 published: Print Citation Status MEDLINE |
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| doi: |
10.17116/hirurgia202401142 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Is vTAPP for small ventral hernias a potential «gold standard» for less than 24 hours hospitalization? |
| 246 | 3 | 3 | |a Operatsiya vTAPP pri nebol'shikh ventral'nykh gryzhakh — potentsial'nyi «zolotoi standart» dlya dosutochnoi gospitalizatsii? |
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| 500 | |a Date Revised 24.01.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To evaluate clinical efficacy and cost-effectiveness of vTAPP for small/M3W1 hernias compared to IPOM | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a small umbilical hernia | |
| 650 | 4 | |a surgical treatment of umbilical hernia | |
| 650 | 4 | |a umbilical hernia | |
| 650 | 4 | |a vTAPP | |
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| 700 | 1 | |a Alimov, A N |e verfasserin |4 aut | |
| 700 | 1 | |a Zazhogin, D O |e verfasserin |4 aut | |
| 700 | 1 | |a Zotova, P I |e verfasserin |4 aut | |
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| 700 | 1 | |a Sobakina, A A |e verfasserin |4 aut | |
| 700 | 1 | |a Nechay, T V |e verfasserin |4 aut | |
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