Abstract：
The concept of the transabdominal preperitoneal (TAPP) was transferred from the inguinal hernia repair to be adopted in minimally invasive ventral hernia repair (VHR) and since then it has been gaining popularity. However, there are minimal data supporting the ventral TAPP (vTAPP) technique which may lead to reticence in the adoption of this approach. The aim of this meta-analysis was to evaluate the outcomes of patients who received minimally invasive vTAPP for VHR.
A systematic search was performed of PubMed, Science Direct, Google Scholar and Cochrane Library until July 2022. We selected studies that compared the vTAPP technique with any of other minimally invasive techniques. A meta-analysis was done for the outcomes of perioperative characteristics and postoperative parameters.
A total of 9 studies (1429 patients) were identified. vTAPP was associated with considerable benefit when compared to IPOM. vTAPP was less painful (MD = - 1.01; 95% CI [- 1.39, - 0.64], p < 0.00001), of reduced average cost (MD = - 457.10; 95% CI [- 457.27, - 456.92], p < 0.00001) and decreased SSI (OR = 0.29; 95% [0.09, 0.96], p = 0.04). On the other hand, the vTAPP approach consumed less operative time (MD: - 31.01, 95% CI [- 33.50, - 28.51]), p < 0.00001) and shorter hospital stay than the e-TEP approach.
vTAPP appears to be safe and effective procedure for VHR, superior or similar to other minimally invasive techniques for perioperative characteristics and short-term outcomes.
A systematic search was performed of PubMed, Science Direct, Google Scholar and Cochrane Library until July 2022. We selected studies that compared the vTAPP technique with any of other minimally invasive techniques. A meta-analysis was done for the outcomes of perioperative characteristics and postoperative parameters.
A total of 9 studies (1429 patients) were identified. vTAPP was associated with considerable benefit when compared to IPOM. vTAPP was less painful (MD = - 1.01; 95% CI [- 1.39, - 0.64], p < 0.00001), of reduced average cost (MD = - 457.10; 95% CI [- 457.27, - 456.92], p < 0.00001) and decreased SSI (OR = 0.29; 95% [0.09, 0.96], p = 0.04). On the other hand, the vTAPP approach consumed less operative time (MD: - 31.01, 95% CI [- 33.50, - 28.51]), p < 0.00001) and shorter hospital stay than the e-TEP approach.
vTAPP appears to be safe and effective procedure for VHR, superior or similar to other minimally invasive techniques for perioperative characteristics and short-term outcomes.
摘要：
目的：经腹腹膜前疝修补术（TAPP）的概念从腹股沟疝修补术转移到微创腹侧疝修补术（VHR）中，此后逐渐普及。然而,支持腹侧TAPP（vTAPP）技术的数据很少，这可能会导致采用这种方法的沉默。这项荟萃分析的目的是评估接受微创vTAPP治疗VHR的患者的预后。
方法：对PubMed进行了系统搜索，科学直接，谷歌学者和Cochrane图书馆至2022年7月。我们选择了将vTAPP技术与任何其他微创技术进行比较的研究。对围手术期特征和术后参数的结局进行荟萃分析。
结果：共确认了9项研究（1429例患者）。与IPOM相比，vTAPP具有相当大的益处。vTAPP疼痛较小（MD=-1.01；95%CI[-1.39，-0.64]，p<0.00001),平均成本降低(MD=-457.10；95%CI[-457.27，-456.92]，p<0.00001)和降低的SSI(OR=0.29；95%[0.09，0.96]，p=0.04)。另一方面,vTAPP方法消耗更少的手术时间(MD：-31.01，95%CI[-33.50，-28.51])，p<0.00001)，住院时间比e-TEP方法短。
结论：vTAPP似乎是VHR安全有效的方法，在围手术期特征和短期结局方面优于或类似于其他微创技术。
方法：对PubMed进行了系统搜索，科学直接，谷歌学者和Cochrane图书馆至2022年7月。我们选择了将vTAPP技术与任何其他微创技术进行比较的研究。对围手术期特征和术后参数的结局进行荟萃分析。
结果：共确认了9项研究（1429例患者）。与IPOM相比，vTAPP具有相当大的益处。vTAPP疼痛较小（MD=-1.01；95%CI[-1.39，-0.64]，p<0.00001),平均成本降低(MD=-457.10；95%CI[-457.27，-456.92]，p<0.00001)和降低的SSI(OR=0.29；95%[0.09，0.96]，p=0.04)。另一方面,vTAPP方法消耗更少的手术时间(MD：-31.01，95%CI[-33.50，-28.51])，p<0.00001)，住院时间比e-TEP方法短。
结论：vTAPP似乎是VHR安全有效的方法，在围手术期特征和短期结局方面优于或类似于其他微创技术。
