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World Journal of Surgery

Published in:

01-04-2013

Single Port Laparoscopic Totally Extraperitoneal Hernioplasty: A Comparative Study of Short-term Outcome with Conventional Laparoscopic Totally Extraperitoneal Hernioplasty

Authors: Ji Hoon Kim, Yoon Suk Lee, Jin Jo Kim, Seung Man Park

Published in: World Journal of Surgery | Issue 4/2013

Abstract

Background

Recently, single port laparoscopic surgery has begun to develop as an extension of minimally invasive surgery, but there have been only a few reports of single port laparoscopic totally extraperitoneal (SPLTEP) hernioplasty. In addition, there are few comparative studies with conventional laparoscopic totally extraperitoneal (CLTEP) hernioplasty. The aim of the present study was to report our experience with SPLTEP hernioplasty and to compare short-term outcomes for SPLTEP hernioplasty with CLTEP hernioplasty.

Methods

Data were prospectively collected for all patients undergoing SPLTEP hernioplasty for inguinal hernia at Incheon St. Mary’s Hospital, Incheon, Korea. Data for the SPLTEP group (n = 76 patients enrolled between June 2010 and May 2011) were compared retrospectively with data for the CLTEP group (n = 93 patients enrolled between June 2009 and May 2010).

Results

There were no significant differences in patient demographics. This study showed no significant difference in terms of operative time between the two groups (SPLTEP group 54.0 min vs. CLTEP group 47.8 min; p = 0.07). There were no conversions to conventional TEP hernioplasty or transabdominal preperitoneal hernioplasty or open surgery in SPLTEP hernioplasty. Morbidity rates were 7.9 % (n = 6) in the SPLTEP group and 10.8 % (n = 10) in the CLTEP group, and the difference was not significant.

Conclusions

Single port laparoscopic totally extraperitoneal hernioplasty is technically feasible and the short-term operative outcome is comparable to that of CLTEP hernioplasty. Future large-scale prospective controlled studies and long-term analysis are needed to establish the cosmetic outcomes, quality of life, long-term recurrence rate, and long-term complication rate of SPLTEP hernioplasty.

Reddick EJ, Olsen DO (1989) Laparoscopic laser cholecystectomy. A comparison with mini-lap cholecystectomy. Surg Endosc 3:131–133PubMedCrossRef

Teoh AY, Chiu PW, Wong TC et al (2011) A case-controlled comparison of single-site access versus conventional three-port laparoscopic appendectomy. Surg Endosc 25:1415–1419PubMedCrossRef

Adair J, Gromski MA, Lim RB et al (2010) Single-incision laparoscopic right colectomy: experience with 17 consecutive cases and comparison with multiport laparoscopic right colectomy. Dis Colon Rectum 53:1549–1554PubMedCrossRef

Ma J, Cassera MA, Spaun GO et al (2011) Randomized controlled trial comparing single-port laparoscopic cholecystectomy and 4-port laparoscopic cholecystectomy. Ann Surg 254:22–27PubMedCrossRef

Lee YS, Kim JH, Moon EJ et al (2009) Comparative study on surgical outcomes and operative costs of transumbilical single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adult patients. Surg Laparosc Endosc Percutan Tech 19:493–496PubMedCrossRef

Hong TH, You YK, Lee KH (2009) Transumbilical single-port laparoscopic cholecystectomy: scarless cholecystectomy. Surg Endosc 23:1393–1397PubMedCrossRef

Surgit O (2010) Single-incision laparoscopic surgery for total extraperitoneal repair of inguinal hernias in 23 patients. Surg Laparosc Endosc Percutan Tech 20:114–118PubMedCrossRef

Agrawal S, Shaw A, Soon Y (2010) Single-port laparoscopic totally extraperitoneal inguinal hernia repair with the TriPort system: initial experience. Surg Endosc 24:952–956PubMedCrossRef

He K, Chen H, Ding R et al (2010) Single incision laparoscopic totally extraperitoneal inguinal hernia repair. Hernia 15:451–453PubMedCrossRef

10.

Do M, Liatsikos E, Beatty J et al (2011) Laparoendoscopic single-site extraperitoneal inguinal hernia repair: initial experience in 10 patients. J Endourol 25:963–968PubMedCrossRef

11.

Tai HC, Ho CH, Tsai YC (2011) Laparoendoscopic single-site surgery: adult hernia mesh repair with homemade single port. Surg Laparosc Endosc Percutan Tech 21:42–45PubMedCrossRef

12.

Tai HC, Lin CD, Chung SD et al (2011) A comparative study of standard versus laparoendoscopic single-site surgery (LESS) totally extraperitoneal (TEP) inguinal hernia repair. Surg Endosc 25:2879–2883PubMedCrossRef

13.

Kim JH, Park SM, Kim JJ et al (2011) Initial experience of single port laparoscopic totally extraperitoneal hernia repair: nearly-scarless inguinal hernia repair. J Korean Surg Soc 81:339–343PubMedCrossRef

14.

Ferzli G, Shapiro K, Chaudry G et al (2004) Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc 18:228–231PubMedCrossRef

15.

Hoffman A, Leshem E, Zmora O et al (2010) The combined laparoscopic approach for the treatment of incarcerated inguinal hernia. Surg Endosc 24:1815–1818PubMedCrossRef

16.

Saggar VR, Sarangi R (2005) Endoscopic totally extraperitoneal repair of incarcerated inguinal hernia. Hernia 9:120–124PubMedCrossRef

17.

Paterson HM, Casey JJ, Nixon SJ (2005) Totally extraperitoneal laparoscopic hernia repair in patients with previous lower abdominal surgery. Hernia 9:228–230PubMedCrossRef

18.

Ramshaw BJ, Tucker J, Duncan T et al (1996) The effect of previous lower abdominal surgery on performing the total extraperitoneal approach to laparoscopic herniorrhaphy. Am Surg 62:292–294PubMed

19.

Ramshaw B, Shuler FW, Jones HB et al (2001) Laparoscopic inguinal hernia repair: lessons learned after 1,224 consecutive cases. Surg Endosc 15:50–54PubMedCrossRef

20.

Miserez M, Arregui M, Bisgaard T et al (2009) A standardized resident training program in endoscopic surgery in general and in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in particular. Surg Laparosc Endosc Percutan Tech 19:e125–e129PubMedCrossRef

21.

Choi YY, Kim Z, Hur KY (2011) Swelling after laparoscopic total extraperitoneal repair of inguinal hernias: review of one surgeon’s experience in 1,065 cases. World J Surg 35:43–46. doi:10.1007/s00268-010-0843-3 PubMedCrossRef

22.

Lau H, Lee F (2003) Seroma following endoscopic extraperitoneal inguinal hernioplasty. Surg Endosc 17:1773–1777PubMedCrossRef

23.

Dulucq JL, Wintringer P, Mahajna A (2009) Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years. Surg Endosc 23:482–486PubMedCrossRef

24.

Kwon KH, Son BH, Han WK (2011) Laparoscopic totally extraperitoneal repair without suprapubic port: comparison with conventional totally extraperitoneal repair. J Korean Surg Soc 80:319–326PubMedCrossRef

Title: Single Port Laparoscopic Totally Extraperitoneal Hernioplasty: A Comparative Study of Short-term Outcome with Conventional Laparoscopic Totally Extraperitoneal Hernioplasty
Authors: Ji Hoon Kim
Yoon Suk Lee
Jin Jo Kim
Seung Man Park
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 4/2013
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-013-1925-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single Port Laparoscopic Totally Extraperitoneal Hernioplasty: A Comparative Study of Short-term Outcome with Conventional Laparoscopic Totally Extraperitoneal Hernioplasty

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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