Single-port endo-laparoscopic surgery (SPES) for totally extraperitoneal inguinal hernia: a critical appraisal of the chopstick repair

被引:9
作者
Fuentes, M. B. [1 ]
Goel, R. [1 ]
Lee-Ong, A. C. [1 ]
Cabrera, E. B. [1 ]
Lawenko, M. [1 ]
Lopez-Gutierrez, J. [1 ]
Lomanto, D. [1 ]
机构
[1] Natl Univ Singapore, Minimally Invas Surg Ctr, Yong Loo Lin Sch Med, Dept Surg, Singapore 119074, Singapore
关键词
Hernia; Laparoscopy; Single-port; Total extraperitoneal repair; TRANSLUMENAL ENDOSCOPIC SURGERY; LEARNING-CURVE; CHOLECYSTECTOMY;
D O I
10.1007/s10029-012-0968-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
Developments in minimal access surgery brought a new concept: single-port endolaparoscopic surgery (SPES). The aim of our study is to verify the safety and feasibility of SPES TEP hernia repair and report our initial clinical outcome. We prospectively collected data of all patients who underwent SPES TEP repair from May 2009 to December 2010. Data regarding patient demographics, type, size and location of hernia, port devices used, type of mesh and fixation, operative time, complications, length of stay and cosmetic results were collected and analyzed. A total of 47 patients (36 M, 11 F) underwent 70 SPES TEP hernia repairs; median age was 53 years (range 22-80). 60 % had indirect hernia, 27.5 % direct, 8.5 % pantaloon, 2 % femoral and 2 % recurrent hernias. Mean hernia size was 1.91 +/- A 0.67 cm. Port devices used include 33 Triport, 12 SILS and 2 SSL. We used anatomical mesh in 20; flat polypropylene in 10 and titanium-coated polypropylene mesh in 17 patients. Fixation of mesh was achieved in 18 patients with absorbable tacks, 8 with titanium tacks, 1 with fibrin glue, and no tack in 20 with anatomical mesh. No conversions occurred and small seroma was reported in 3 (6.3 %) patients. Mean operative time was 96.48 min (range: 50-150). Average hospital stay was 11.8 h (range: 9-26). Median follow-up was 11 months (range 6-18), and no recurrence was noted. 82.6 % patients were very satisfied, and 17.4 % were satisfied with the procedure. SPES TEP repair is a safe and feasible technique with good patient satisfaction.
引用
收藏
页码:217 / 221
页数:5
相关论文
共 50 条
  • [31] Single-port versus multi-port totally extraperitoneal (TEP) inguinal hernia repair A meta-analysis of randomized controlled trials
    Prassas, Dimitrios
    Rolfs, Thomas Marten
    Vaghiri, Sascha
    Kounnamas, Aristodemos
    Knoefel, Wolfram Trudo
    Krieg, Andreas
    MEDICINE, 2022, 101 (45) : E30820
  • [32] Single incision approach to totally extraperitoneal inguinal hernia repair
    Bialecki, Jacek T.
    Wieloch, Maria M.
    Kolomecki, Krzysztof
    VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES, 2014, 9 (02) : 201 - 206
  • [33] Single-port laparoscopic incisional hernia repair in a horse
    Gandini, M.
    Giusto, G.
    Caramello, V.
    Comino, F.
    Rosso, A.
    EQUINE VETERINARY EDUCATION, 2017, 29 (07) : 362 - 366
  • [34] Learning curve of single-incision laparoscopic totally extraperitoneal repair (SILTEP) for inguinal hernia
    Park, Y. Y.
    Lee, K.
    Oh, S. T.
    Lee, J.
    HERNIA, 2022, 26 (03) : 959 - 966
  • [35] Learning curve of single-incision laparoscopic totally extraperitoneal repair (SILTEP) for inguinal hernia
    Y. Y. Park
    K. Lee
    S. T. Oh
    J. Lee
    Hernia, 2022, 26 : 959 - 966
  • [36] Risk factors associated with inguinal hernia recurrence after single-incision laparoscopic totally extraperitoneal repair
    Sungwoo Jung
    Jin Ho Lee
    Jae Uk Chong
    Hyung Soon Lee
    Surgical Endoscopy, 2025, 39 (6) : 3552 - 3558
  • [37] Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair
    Novik, B
    Hagedorn, S
    Mörk, UB
    Dahlin, K
    Skullman, S
    Dalenbäck, J
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2006, 20 (03): : 462 - 467
  • [38] Totally extraperitoneal laparoscopic inguinal hernia repair post-radical prostatectomy
    Watt, Imogen
    Bartlett, Adam
    Dunn, John
    Bowker, Andrew
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2022, 36 (11): : 8298 - 8306
  • [39] Pneumothorax during laparoscopic totally extraperitoneal inguinal hernia repair -A case report
    Kim, Hye Young
    Kim, Tae-Yop
    Lee, Kyu Chang
    Lee, Myeong Jong
    Kim, Seong-Hyop
    Bahn, Jong Min
    Choi, Eun Kyung
    Kim, Ji Yeon
    KOREAN JOURNAL OF ANESTHESIOLOGY, 2010, 58 (05) : 490 - 494
  • [40] Single-port access in laparoscopic bilateral inguinal hernia repair: first clinical report of a novel technique
    C. Menenakos
    M. Kilian
    J. Hartmann
    Hernia, 2010, 14 : 309 - 312