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Safety and feasibility of single-incision laparoscopic totally extraperitoneal inguinal hernia repair: a retrospective comparative analysis of 163 patients

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Summary

Objective

To analyze the benefit and feasibility of single-incisional laparoscopic totally extraperitoneal (SIL TEP) repair compared with those of conventional laparoscopic TEP (CL TEP).

Methods

The procedure of laparoscopic herniorrhaphy includes medial, lateral, and sac dissection with mesh positioning. The actual procedure performed during SIL TEP is the same as those of CL TEP, except for the number of incisions. We performed SIL TEP in 23 patients with an inguinal hernia. The operative and short-term outcomes, including postoperative complications and recurrence, were analyzed and compared with 140 cases of CL TEP.

Results

Age, gender, BMI, comorbidity, ASA score, and types of hernia were similar in both groups. Also, operation time, open or transabdominal preperitoneal conversion rate, length of hospital stay, postoperative complication rate, and recurrence were not significantly different between the two groups.

Conclusion

SIL TEP is as feasible and safe a procedure as laparoscopic herniorrhaphy. Surgeons familiar with single-incision laparoscopic surgeries like appendectomy or cholecystectomy can begin to perform SIL TEP for hernia repair.

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Abbreviations

ASA:

American Society of Anesthesiologists

ASIS:

Anterior superior iliac spine

BMI:

Body mass index

CL:

Conventional laparoscopic

MIS:

Minimally invasive surgery

SIL:

Single-incision laparoscopic

TAPP:

Transabdominal preperitoneal

TEP:

Totally extraperitoneal

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Authors and Affiliations

  1. Department of Surgery, Chuncheon Sacred Heart Hospital, College of Medicine, The Hallym University, 77 Sakjuro, 24253, Chuncheon, Gangwon-Do, Korea (Republic of)

    Jin Won Lee & Hae Sung Kim M.D.

  2. Department of Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 07345, Uijeongbu, Korea (Republic of)

    Eun Young Kim

  3. Institute for Skeletal Aging & Orthopedic Surgery, Hallym University-Chuncheon Sacred Heart Hospital, 24253, Chuncheon, Gangwon-Do, Korea (Republic of)

    Altanzul Bat-Ulzii & Ashish Ranjan Sharma

Authors
  1. Jin Won Lee
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  2. Eun Young Kim
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  3. Altanzul Bat-Ulzii
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  5. Hae Sung Kim M.D.
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Correspondence to Hae Sung Kim M.D..

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Conflict of interest

J.W. Lee, E.Y. Kim, A. Bat-Ulzii, A.R. Sharma, and H.S. Kim declare that they have no competing interests.

Ethical standards

All procedures performed in studies involving human participants or on human tissue were in accordance with the ethical standards of the institutional review board of Chuncheon Sacred Heart Hospital. Informed consent was obtained from all individual participants included in the study.

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Lee, J.W., Kim, E.Y., Bat-Ulzii, A. et al. Safety and feasibility of single-incision laparoscopic totally extraperitoneal inguinal hernia repair: a retrospective comparative analysis of 163 patients. Eur Surg 53, 294–298 (2021). https://doi.org/10.1007/s10353-020-00646-z

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