A comparative study of efficacy of laparoscopic transabdominal pre-peritoneal-plus versus intraperitoneal onlay mesh-plus repair for small umbilical hernias

Both techniques were safe and effective for laparoscopic repair of small umbilical hernias. TAPPu-plus, although more technically demanding, demonstrated superior outcomes in post-operative pain control and recovery. It represents a promising alternative to IPOM-plus in appropriately selected patients when performed by experienced surgeons.