Direct Application of Single-Port Laparoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair by an Experienced Single-Port Laparoscopic Surgeon Who Was Inexperienced in Conventional TEP Hernia Repair: Initial Experience with 100 Cases

Choi, Byung Jo; Lee, Kwan Ju; Lee, Sang Chul

doi:10.1089/lap.2013.0497

Cited by 7 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The average operative time was 113.8 minutes (range from 60.0 to 210.0 minutes) for bilateral hernias. The operative time from our initial experience for inguinal hernia repair was comparable to that in previous SIL-TEP studies[ 10 - 12 ]. In addition, the incidence of intraoperative complications was 27.63%, and the majority of common intraoperative complications were tearing of the sac and peritoneum.…”

Section: Discussionsupporting

confidence: 75%

Potential applications of single-incision laparoscopic totally preperitoneal hernioplasty

Wang,

Fei,

Xiang

et al. 2024

World J Gastrointest Surg

View full text Add to dashboard Cite

BACKGROUND The totally preperitoneal (TPP) approach is a new concept that was recently introduced. Although the TPP approach combined with single-incision laparoscopic hernia repair has its own advantages, there is little evidence reflecting the characteristics and feasibility of either approach. AIM To analyze the potential applications of single-incision laparoscopic TPP (SIL-TPP) inguinal hernia hernioplasty for the treatment of inguinal hernias. METHODS A total of 152 SIL-TPP surgeries were performed at the First Affiliated Hospital of Ningbo University from February 2019 to November 2022. A single-port, named Iconport, and standard laparoscopic instruments were used during the operation. Demographic data, intraoperative parameters and short-term postoperative outcomes were collected and retrospectively analyzed. RESULTS The demographic data of 152 patients underwent SIL-TPP were shown in Table 1 . The average age was 49.5 years (range from 21 to 81 years). The average body mass index was 27.7 kg/m2 (range from 17.7 kg/m2 to 35.6 kg/m2). SIL-TPP were conducted successfully in 147 patients. Three patients were converted to the SIL-transabdominal preperitoneal laparoscopic herniorrhaphy at the initial stage of the study due to a lack of experience. In 2 patients with incisional hernias, an auxiliary operation hole was added during the SIL-TPP procedure, as required for surgery. The mean operative time was 64.5 minutes (range: 36.0-110.0 minutes) for unilateral direct and femoral hernias and 81.6 minutes for indirect hernias (range: 40.0-150.0 minutes). The mean postoperative hospital stay was 3.4 days. CONCLUSION SIL-TPP is feasible and has advantages for inguinal hernia repair. SIL-TPP has potential benefits for patients with various abdominal wall hernias. Consequently, doctors should be encouraged to actively apply the TPP approach combined with a single incision in their daily work.

show abstract

Section: Discussionsupporting

confidence: 75%

Potential applications of single-incision laparoscopic totally preperitoneal hernioplasty

Wang,

Fei,

Xiang

et al. 2024

World J Gastrointest Surg

View full text Add to dashboard Cite

show abstract

“…More than 750,000 hernia operations are performed each year in the USA, most of them on male patients. Throughout a man's lifetime there is a 24% risk of developing hernia (Abramson et al, 1978;Fitzgibbons, 2005;Choi et al, 2014).…”

Section: Triangle Of Dissectionmentioning

confidence: 99%

“…However, in cases of narrow Bogros space and hernia dissection with mesh fixation, mastery of the anatomy of the peritoneal area is required. In addition to the challenges of conventional laparoscopy, the problems of restricted movement in the single incision technique increase the level of difficulty (Choi et al, 2014).…”

Section: Triangle Of Dissectionmentioning

confidence: 99%

A new anatomical approach to laparoscopic hernia repair: Triangle of dissection

2015

View full text Add to dashboard Cite

“…However, SLS suffers from several problems such as inadequate exposure of the surgical field, surgical instrument crowding and lack of internal maneuverability for surgical tools, which have impeded the advancement of the SLS technique [1] [2] [3]. In addition, concerns have been raised that these problems have increased the length of operative times, which may potentially increase the risk of SLS operations for patients [4]. In order to solve some of the above SLS problems, several attempts have been carried out, for example, to improve the flexibility of SLS surgical instruments using a robotic platform [5], to direct the SLS camera using external magnetic fields [6] and to use pre-bent surgical instruments [7].…”

mentioning

confidence: 99%

The Performance of a Novel Latching-Type Electromagnetic Actuator for Single-Port Laparoscopic Surgery

Wang¹,

Wahed²

2019

JMP

View full text Add to dashboard Cite

This paper reports on the performance evaluation of a novel latching-type electromagnetic actuator which is designed to be embedded at selected joints along single-port laparoscopic surgical instruments (SLS). The aim of this actuator is to allow these instruments to become articulated with a push of a button in order to provide the optimum angulation required during SLS operations. This new actuator is comprised of electromagnetic coil elements, soft magnetic frames and a permanent magnet. Unlike conventional electromagnetic actuators, latching-type electromagnetic actuators could maintain their positions at either end of the actuation stroke without any power application requirement. In the current design, magnetic attraction forces initiated between the permanent magnet and the magnetic frame are utilised to lock the position of the actuator whilst a certain angulation position of the actuator is achieved as a result of the magnetic repulsion forces established between the permanent magnet and the coil elements. The performance of the new actuator in terms of the output force, maximum angulation and patient's safety, was evaluated experimentally and the results were found to compare well with those acquired numerically using finite element methods. This actuator was seen to exhibit sufficient actuation forces and hence, it was capable of providing adaptable angulation characteristics for SLS tools. Finally, thermal evaluation of the actuator's operation was conducted, which was found to be within safety limits specified by clinicians.

show abstract

Direct Application of Single-Port Laparoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair by an Experienced Single-Port Laparoscopic Surgeon Who Was Inexperienced in Conventional TEP Hernia Repair: Initial Experience with 100 Cases

Abstract: In our experience, the transition from standard hernioplasty to SPLS TEP inguinal hernia repair by an experienced SPLS surgeon was feasible. However, a learning curve is necessary.

Cited by 7 publications

References 15 publications

Potential applications of single-incision laparoscopic totally preperitoneal hernioplasty

Potential applications of single-incision laparoscopic totally preperitoneal hernioplasty

A new anatomical approach to laparoscopic hernia repair: Triangle of dissection

The Performance of a Novel Latching-Type Electromagnetic Actuator for Single-Port Laparoscopic Surgery

Contact Info

Product

Resources

About