A randomized controlled trial of laparoscopic trans-abdominal pre-peritoneal (tappu-plus) repair vs laparoscopic intra-peritoneal onlay mesh (ipom-plus) repair for small-sized umbilical hernias at a tertiary care hospital

Abstract

ABSTRACT Background: Umbilical hernias are frequently encountered in clinical practice, necessitating effective surgical management to prevent complications such as incarceration and strangulation. Laparoscopic techniques, including Trans-Abdominal Pre-Peritoneal (TAPPu-plus) repair and Intra-Peritoneal Onlay Mesh (IPOM-plus) repair, are widely used for their minimally invasive advantages. While IPOM-plus is associated with shorter operative times, TAPPu-plus has been proposed to reduce postoperative pain, minimize intra-abdominal adhesions, and lead to faster recovery. This study aims to compare these two techniques in small-sized umbilical hernias, assessing their impact on operative time, postoperative pain, hospital stay, and complications.