Mid- to long-term results of SuPerLap single-port treatment in inguinal hernia

Abstract

Introduction. Laparoscopic treatment of inguinal hernia is gaining popularity in many hospitals, but the use of working channel scopes is not as widely extended. We present our long-term experience with the SuPerLap (laparoscopic-assisted percutaneous suture) technique described by Rosell et al. (1) for epigastric hernia repair in the percutaneous, single-port treatment of inguinal hernia using working channel scopes. Materials and methods.A retrospective analysis of a series of male patients with congenital inguinal hernia undergoing surgery from February 2017 to December 2020 was carried out. A 5 mm-0º pleuroscope with a 3.5 mm working channel, a 20 G epidural needle, a 36 cm/3.5 mm laparoscopic Maryland dissector, and 3-0 polypropylene and polyester sutures were used.Results. 384 inguinal hernia repairs using the SuPerLap technique were performed in 295 male patients -206 unilateral repairs and 89 bilateral repairs. In 24 bilateral cases (26.95%), preoperative diagnosis had been unilateral. Mean age was two years (2 weeks-13 years). Mean operating time was 14 minutes (6-50 min) for unilateral repair, and 27 minutes (14-80 min) for bilateral repair. There were two cases of epigastric vessel damage, and one case of early recurrence in a newborn, who successfully underwent re-intervention using the SuPerLap technique. No late complications were recorded after a mean follow-up of 1-36 months.Conclusions. Working channel scopes using the SuPerLap technique avoid additional ports in inguinal hernia repair. They allow for excellent functional results, without visible scars, and minimize spermatic cord manipulation. Laparoscopy allows previously undiagnosed defects to be concomitantly treated.

Abordaje mínimamente invasivo para herniorrafia inguinal versus cirugía convencional en Pediatría, un análisis comparativo

“…Técnicas laparoscópicas como la Percutánea y Burnia las destacan en autores como Pogorelić y colaboradores en relación al menor tiempo quirurgico (10,12,(23)(24)(25), sin embargo, en nuestra investigación se constata que la percutánea conlleva un riesgo relativo significativo (RR 1.040) para duración del acto quirúrgico mayor a 60 minutos contrarrestada por la Burnia exclusiva de mujeres (Figura 3), al igual que los casos de masculinos sometidos a Percutánea versus la Convencional. Los casos de recidiva en nuestro estudio fué de 2 (0.9%) pacientes, siendo estos por debajo en relación con los reportados por Salgaonkar y colaboradores, así como otros autores (29 -37).…”