Assessment of Outcomes Following Laparoscopic Transabdominal Retro Muscular (TARM) Hernia Repair

Background: Laparoscopic transabdominal retro-muscular (TARM) repair offers potential advantages via placing the mesh in the retro-rectus space.Aim: To assess the short- and mid-term results of laparoscopic TARM hernia repair in cases with non-complicated ventral hernias. Patients and Methods: This prospective research involved 25 cases with non-complicated ventral hernia . Inclusion criteria were cases aged ≥18 years, both sexes, any defect size. Patients with recurrent, complicated, or emergency hernias were excluded.TARM repair was performed using three ports, with mesh placement in the retro-muscular space .Results: The mean age was 39.56 ± 11.54 years, with 56% females and a mean BMI of 31.28 ± 3.09 kg/m². Paraumbilical hernia was most common (72%). The mean operative time was 104.44 ± 11.47 minutes, and median blood loss was fifteen milliliters. Complications during the operation happened in 16% of cases, mainly minor events. The median hospital stay was 1 day. Postoperative complications within 1 month occurred in 16% (seroma 8%, SSI 4%, ileus 4%). At 3 months, 12% reported chronic pain; no recurrences have been found up to 12 months. Conclusion: Laparoscopic TARM hernia repair is a safe, effective minimally invasive option, with low complication rates, short hospital stay