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01-06-2015 | Original Article

Single incision laparoscopic totally extraperitoneal hernioplasty (SIL-TEP): experience of 512 procedures

Authors: J. H. Kim, C. H. An, Y. S. Lee, H. Y. Kim, J. I. Lee

Published in: Hernia | Issue 3/2015

Abstract

Purpose

Reports have been issued recently on single incision laparoscopic hernioplasty, but no large-scale study has been conducted as yet. This study aimed to assess the safety and feasibility of the single incision laparoscopic totally extraperitoneal hernioplasty (SIL-TEP) on a large number of cases.

Methods

512 SIL-TEPs in 471 patients were performed from June 2010 to January 2014 at Incheon St. Mary’s Hospital, The Catholic University of Korea. SIL-TEP was performed using a glove single port device and standard laparoscopic instruments. Short-term outcomes were reviewed.

Results

Of the 512 hernias, 329 (64.3 %) were indirect, 144 (28.1 %) were direct, 9 (1.8 %) were femoral, and 30 (5.9 %) were combined. There were 3 (0.6 %) conversions to single or three-port laparoscopic transabdominal preperitoneal hernioplasty. Mean operative time was 41.6 min for unilateral hernias and 65.3 min for bilateral hernias. Postoperative complications occurred in 45 cases (9.6 %); 21 were wound seromas, 5 were hematomas, and 18 were urinary retentions. All were successfully treated conservatively. Mean hospital stay was 1.8 days.

Conclusion

The SIL-TEP is safe and technically feasible. Additional studies on long-term recurrence rates are needed to confirm the safety of SIL-TEP.

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Title: Single incision laparoscopic totally extraperitoneal hernioplasty (SIL-TEP): experience of 512 procedures
Authors: J. H. Kim
C. H. An
Y. S. Lee
H. Y. Kim
J. I. Lee
Publication date: 01-06-2015
Publisher: Springer Paris
Published in: Hernia / Issue 3/2015
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-014-1337-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Single incision laparoscopic totally extraperitoneal hernioplasty (SIL-TEP): experience of 512 procedures

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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