Short-term outcome of single-incision laparoscopic totally extra-peritoneal inguinal hernia repair.

Abstract

We performed single-incision laparoscopic surgery for totally extra-peritoneal (SILS-TEP) repair using a lightweight mesh fixed by absorbable tacks and without balloon dilation. Thirty-four patients (mean age, 66.5 years) underwent SILS-TEP repair in our hospital between September 2011 and April 2012; 30 patients had unilateral hernia and 4 had bilateral hernias. Mean operative time was 85.6 min for unilateral hernia and 137.7 min for bilateral hernias. All patients underwent successful SILS-TEP repair. Mean hospital stay was 3.4 days. Mean duration of follow-up was 7.1 months. Four seromas were observed, but no recurrences or major complications occurred. SILS-TEP is an economical and useful method for decreasing postoperative complications, such as neuralgia and recurrence, and it could be an attractive approach for inguinal hernia.

• Authors: Masaki Wakasugi, Hiroki Akamatsu, Masayuki Tori, Shigeyuki Ueshima, Takeshi Omori, Mitsuyoshi Tei, Toru Masuzawa, Toshirou Nishida
• Journal: Asian journal of endoscopic surgery (Asian J Endosc Surg) Vol. 6 Issue 2 Pg. 143-6 (May 2013) ISSN: 1758-5910 [Electronic] Japan
• PMID: 23602002 (Publication Type: Evaluation Study, Journal Article)
• Copyright: © 2013 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

Topics

• Adult
• Aged
• Aged, 80 and over
• Female
• Follow-Up Studies
• Hernia, Inguinal (surgery)
• Herniorrhaphy (instrumentation, methods)
• Humans
• Laparoscopy (methods)
• Male
• Middle Aged
• Prospective Studies
• Surgical Mesh
• Treatment Outcome