Single-incision totally extraperitoneal inguinal hernia repair: our initial 100 cases and comparison with conventional three-port laparoscopic totally extraperitoneal inguinal hernia repair

Abstract

SILS-TEP repair seems to be safe and feasible, with no significant differences in the total medical charges for the hospital stay or the postoperative pain score 3 months after surgery compared with conventional three-port TEP repair.

A Comparative Analysis of Single Umbilical Tangential Incision vs. Conventional Three-port Totally Extraperitoneal Inguinal Hernia Repair

“…Some reports showed comparable postoperative pain, and other reports didn't mention about pain between two groups. 1,5,6,10 In our study and some other researchers described that patients suffered more pain on immediate postoperative day. 1,3 In our SUTI-TEP experience of using many different kinds of SILS port including home-made glove port, it seemed that patients suffered more immediate postoperative pain after SILS than after conventional multi-port surgery (data not shown).…”

“…4 The safety and feasibility outcome results from a current study, which is designed to compare SUTI-TEP and C-TEP procedures, have shown no differences in length of hospital stay, POD 7 th pain VAS score, postoperative complications, and chronic pain just like as demonstrated by other papers. 5,6 No recurrence was noted during follow up (5~36 months) in both groups.…”

“…2 Conventional TEP procedures was performed using a single 15 mm infra-or subumbilical incision and two other 5 mm incisions in the midlines and the rest of procedure was same as reported before. [3][4][5][6] In addition to patient demographic data, we recorded perioperative outcomes (operative time, length of hospital stay, postoperative pain, postoperative complications, chronic pain, and recurrence). The postoperative pain score was assessed using the Visual Analog Scale (VAS), ranging from 0 to 10, on the first and seventh day postoperative.…”

The feasibility and safety of single-incision totally extraperitoneal inguinal hernia repair after previous lower abdominal surgery: 350 procedures at a single center

“…Since then, it has become widespread and has resulted in less postoperative pain, faster recovery, and lower recurrence rates. Currently, single-incision laparoscopic surgery (SILS) is considered to achieve better cosmetic outcomes than conventional laparoscopic surgery [1]. In general, previous lower abdominal surgery (PLAS) is considered to be a relative contraindication to endoscopic repair for inguinal hernia.…”

Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience

“…This trend has led to trials of single incision techniques for both the transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) approaches [2,[4][5][6][7]. However, single incision laparoscopic surgery (SILS) has met with some resistance because of limitations including the difficult ergonomics of single incision instruments, the reported increase in port-site herniation following SILS, and the relatively steep learning curve [8][9][10].…”