Laparoscopic transabdominal retromuscular ventral hernia repair (L-TARUP): Outcomes from a single institution with mid-term follow-up.

Abstract

<h4>Introduction</h4>The use of extraperitoneal mesh over intraperitoneal mesh is gaining popularity in minimally invasive ventral hernia repair. We adopted a laparoscopic lateral approach with retromuscular mesh placement by opening the posterior rectus fascia on the ipsilateral side of trocar insertion. This study aims to evaluate operative times and early outcomes of this laparoscopic alternative to a conventionally robotic procedure for ventral hernia repair.<h4>Patients and methods</h4>This single-centre retrospective study included 23 patients treated between 2022 and 2025. Data were reviewed from a retrospectively maintained database of patients undergoing laparoscopic transabdominal retromuscular umbilical prosthetic hernia repair (L-TARUP).<h4>Results</h4>Both operative time and hospital stay were reduced compared to the conventional approach. No intraoperative or major post-operative complications were observed. Two cases of seroma were identified during the first 4 weeks of follow-up. No hernia recurrences or wound infections were reported.<h4>Conclusion</h4>Our preliminary results suggest that laparoscopic transabdominal prosthetic retromuscular ventral hernia repair (L-TARUP) is a safe and effective technique, with favourable operative times for ventral hernia management.