Single port laparoscopic transabdomional preperitoneal inguinal hernia repair: prospective cohort study
Keywords:Laparoscopic inguinal hernia repair, Transabdominal preperitoneal repair, Totally extraperitoneal repair
Background: Laparoscopic inguinal hernia repair offers variety of advantages than the conventional repair. Therefore, laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) techniques are frequently preferred. Single-incision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of conventional laparoscopy and has been successfully performed by many surgeons.
Methods: This study was conducted on 25 patients over a period of one year from November 2011 to October 2012 in Department of General Surgery, Acharya Sri Chander College of Medical Sciences and Hospital, Sidhra, Jammu (ASCOMS), India with uncomplicated inguinal hernia which underwent single port laparoscopic TAPP (SPL-TAPP).
Results: In this study, all the patients (100%) had unilateral inguinal hernia, among them 16 (64%) had direct and 9 (36%) had indirect inguinal hernia. Pediatric patients were excluded from study. The mean age, weight and height were 44.4, 59.46 and 157.2 cm respectively. Intraoperative data for SPL-TAPP had complications in 1 case (seroma formation) and need for conversion to conventional surgery was also seen in 1 case.
Conclusions: Single port TAPP offers to be safe and efficacious with minimum re-occurrences and shorter hospital stay.
utkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. 2003;83:1045.
Takata MC, Duh QY. Laparoscopic inguinal hernia repair. Surg Clin North Am. 2008;88:157-78,
McCormack K, Scott N, Go PM, Ross SJ, Grant A. EU Hernia Trialists Collaboration. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003:CD001785.
Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR. Metaanalysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Brit J Surg. 2003;90:1479-92.
Rosen MJ. Laparoscopic transabdominal preperitoneal inguinal hernia repair. Op Tech Gen Surg. 2006;8:45-51.
Ishikawa N, Kawaguchi M, Shimizu S, Matsunoki A, Inaki N, Watanabe G. Single-incision laparoscopic hernioplasty with the assistance of the Radius Surgical System. Surg Endosc. 2010;24:730.
Menenakos C, Kilian M, Hartmann J. Single-port access in laparoscopic bilateral inguinal hernia repair: first clinical report of a novel technique. Hernia. 2010;14:309-12.
Yilmaz H, Alptekin H. Single-incision laparoscopic transabdominal preperitoneal herniorrhaphy for bilateral inguinal hernias using conventional instruments. Surg Laparosc Endosc Percutan Tech. 2013;23:320-3.
Tai HC, Ho CH, Tsai YC. Laproendoscopic single-site surgery: adult hernia mesh hernia with homemade single port. Surg Laparosc Endosc Per Techn. 2011;21(1):42.
Ertem M, Aytac E, Gok H. Single port totally extraperitoneal (STEP) hernia repair: improving the benefits of one-day surgery setting, Hernia. 2012: 1-2.
Sato H, Shimada M, Kurita N. The safety and usefulness of single incision, Transabdominal pre-peritoneal (TAPP) laparoscopic technique of inguinal hernia. J Med Invest. 2012;(59):235-40.
Hawaski A, Thao U, Chapital A. Laparoscopic transabdominal preperitoneal inguinal hernia repair for recurrent inguinal hernia. Am Surg. 2002;68(3):303-07.
Kim JH, Park SM, Kim JJ. Initial experience of single port laparoscopic totally extraperitoneal hernia repair: nearly scarless inguinal hernia repair. J Korean Surg Soc. 2011;81(5):339-43.
Lee YS, Kim JH, Hong TH. Transubilical single-port laparoscopic transabdominal preperitoneal repair of inguinal hernia: initial experience of single institute. Surg Laprosc Endosc Percutan Tech. 2011;21(3):199-202.