Single-incision totally extraperitoneal inguinal hernia repair: our initial 100 cases and comparison with conventional three-port laparoscopic totally extraperitoneal inguinal hernia ... View Full Text


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Article Info

DATE

2015-05

AUTHORS

Masaki Wakasugi, Toru Masuzawa, Mitsuyoshi Tei, Takeshi Omori, Shigeyuki Ueshima, Masayuki Tori, Hiroki Akamatsu

ABSTRACT

PURPOSE: To compare the outcomes of single-incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair (SILS-TEP) and conventional three-port totally extraperitoneal (TEP) repair. METHODS: We performed a retrospective analysis of 137 patients (SILS-TEP, 100; conventional TEP, 37) scheduled to undergo elective inguinal hernia from January 2011 to July 2013 at Osaka Police Hospital. RESULTS: There were no significant differences in the patient demographics. There were no significant differences in the length of the operation between the two groups (SILS-TEP group, 93 min vs. conventional TEP group, 92 min for unilateral hernias, p = 0.8; SILS-TEP group, 142 min vs. conventional TEP, 128 min for bilateral hernias, p = 0.4). The postoperative hospital stay, total medical charge for the hospital stay and the numerical rating scale before and 3 months after surgery were comparable in both groups. Two cases treated by SILS-TEP repair were converted to conventional three-port TEP repair (one case) and mesh-plug method (one case). The postoperative complications were comparable in both groups, and these were managed conservatively. One recurrence (2 %, 1/37) developed in the conventional TEP group, compared with 0 recurrences (0/100) in the SILS-TEP group. CONCLUSIONS: SILS-TEP repair seems to be safe and feasible, with no significant differences in the total medical charges for the hospital stay or the postoperative pain score 3 months after surgery compared with conventional three-port TEP repair. More... »

PAGES

606-610

References to SciGraph publications

  • 2013-10. A randomized prospective trial comparing clinical outcomes 3 years after surgery by Marcy repair and Prolene Hernia System® repair for adult indirect inguinal hernia in SURGERY TODAY
  • 2011-09. A comparative study of standard versus laparoendoscopic single-site surgery (LESS) totally extraperitoneal (TEP) inguinal hernia repair in SURGICAL ENDOSCOPY
  • 2011-09. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal Hernia [International Endohernia Society (IEHS)] in SURGICAL ENDOSCOPY
  • 2011-01. Comparison of the open tension-free mesh-plug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial in SURGICAL ENDOSCOPY
  • 2010-02. Laparoscopic total extraperitoneal repair of recurrent inguinal hernias in SURGICAL ENDOSCOPY
  • 2013-08. Totally extraperitoneal inguinal hernia repair in patients on antithrombotic therapy: a retrospective analysis in SURGERY TODAY
  • 2009-04. Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair: first case in SURGICAL ENDOSCOPY
  • 2013-03. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics in BONE MARROW TRANSPLANTATION
  • 2014-12. Short- and long-term outcomes of open inguinal hernia repair: comparison of the Prolene Hernia System and the Mesh Plug method in SURGERY TODAY
  • 2013-12. Laparoendoscopic single-site versus conventional laparoscopic total extraperitoneal hernia repair: a prospective randomized clinical trial in SURGICAL ENDOSCOPY
  • 2013-04. Single Port Laparoscopic Totally Extraperitoneal Hernioplasty: A Comparative Study of Short-term Outcome with Conventional Laparoscopic Totally Extraperitoneal Hernioplasty in WORLD JOURNAL OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00595-014-0967-4

    DOI

    http://dx.doi.org/10.1007/s00595-014-0967-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1040173473

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24973058


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