Single incision laparoscopic totally extraperitoneal hernioplasty (SIL-TEP): experience of 512 procedures

Kim, J. H.; An, C. H.; Lee, Y. S.; Kim, H. Y.; Lee, J. I.

doi:10.1007/s10029-014-1337-2

Cited by 21 publications

(15 citation statements)

References 27 publications

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“…Since the first (SPLTEP) hernia repair was reported by Filipovic-Cugura et al, 7 and there have been few related reports in the literature. [8][9][10] In this study, median VAS score on postoperative day 1 was 2 this result was comparable to previous studies of SPLTEP with tack placement or suturing [20][21][22] Although we did not com-pare the pain score of SPLTEP without fixation with that of SPLTEP with tack placement, the present study demonstrated that SPLTEP repair without fixation suturing of the mesh did not seem to be related to high levels of postoperative pain. We unfolded the mesh without fixation suturing before the preperitoneal space was deflated under direct visualization.…”

Section: Discussionsupporting

confidence: 89%

Single-Port Laparoscopic Total Extraperitoneal Inguinal Hernia Repair without Fixation of the Mesh

Bae

Min

Baik

et al. 2016

J Minim Invasive Surg

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Single-port laparoscopic surgery has been used increasingly in treatment of a variety of conditions, and one recently introduced technique is single-port laparoscopic total extraperitoneal (SPLTEP) hernia repair. The aim of this study was to evaluate the safety and technical feasibility of SPLTEP hernia repair without fixation of the mesh. Methods: From June 2010 to October 2012, 112 consecutive patients underwent SPLTEP hernia repair. Results: We performed 129 inguinal hernia repairs in 112 patients, 17 were bilateral and 95 unilateral. There were 107 indirect hernias (83.0%), 20 direct hernias, and 2 hernias had both of types. Successful SPLTEP hernia repair was performed in 110 patients, with two conversions to an open surgical approach. Median operative times for unilateral and bilateral hernias were 70 minutes (40~145 minutes) and 90 minutes (67~135 minutes), respectively, and the hospital stay was 1 day (1~5 days). Postoperative complications included 10 patients with wound seromas or hematomas, 2 with urinary retention, 4 with groin pain, and 1 with bleeding from the incision site. There were 3 early recurrences (2.4%) during a median follow-up period of 42 months (range, 6~55). Conclusion: SPLTEP inguinal hernia repair without fixation of the mesh is both safe and technically feasible, and provides acceptable operative outcomes. Conduct of a prospective randomized study with long-term follow-up is needed to confirm the benefit of this technique in patients with inguinal hernia.

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Section: Discussionsupporting

confidence: 89%

Single-Port Laparoscopic Total Extraperitoneal Inguinal Hernia Repair without Fixation of the Mesh

Bae

Min

Baik

et al. 2016

J Minim Invasive Surg

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“…Based on the current European Hernia Society guidelines, the methods of choice for the treatment of inguinal hernia are the Lichtenstein and totally extra peritoneal (TEP) repairs [12]. Lately, single incision technique (TEP-SI) is growing in popularity in hernia operations [13,14]. A number of studies comparing single-incision laparoscopic totally extra-peritoneal inguinal hernia repair with standard TEP procedure have been published in recent years [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

A comparison of the oxidative stress response in single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair

Białecki¹,

Myszka

Wysocka

et al. 2020

wiitm

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Introduction Surgical treatment is always associated with tissue damage and the subsequent development of oxidative stress. Aim To compare the oxidative stress response in patients treated operatively for inguinal hernia with multi-trocar laparoscopic totally extraperitoneal technique (TEP) or single-incision laparoscopic totally extraperitoneal technique (TEP-SI). Material and methods A randomized group of 34 patients with one-sided inguinal hernia was enrolled in the study. Seventeen patients were treated with a standard TEP method (group 1) and the other 17 patients were treated with the TEP-SI technique (group 2). Thiobarbituric acid reactive substances (TBARS) and total antioxidant status (TAS) as the oxidative stress markers were measured before surgery (0), 1 day (1) and 4 days (2) after surgery. Results A decrease in TAS on the first day after surgery was observed in both groups. Sustained reduction on the fourth day after surgery was observed in group 1, whereas in group 2 an increase followed. A statistically significant difference was observed in TAS (2 : 0) ratio with a meaningful decrease in group 1. TBARS concentration was elevated 1 day after surgery in both groups. It remained at an elevated level on the fourth day after surgery in group 1, while it decreased in group 2. The duration of surgery was higher in group 2 (mean: 57.5 min) than in group 1 (mean: 50.0 min) (p = 0.0286). Conclusions Oxidative stress levels are lower in patients treated operatively by TEP-SI technique than by TEP. TEP-SI may be considered as a less invasive technique associated with less tissue injury.

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“…The operative time, the rates of conversion, postoperative hospital stay, and postoperative complications in patients ≥80 years were similar to those in the patients <80 years, although patients ≥80 years were significantly at higher risk during surgery. Kim et al reported that the complication rate among their 512 SILS‐TEP procedures was 9.6 % (45/512) (), including 21 wound seromas, 18 urinary retentions, 5 hematomas, and 1wound infection. In our study, postoperative complications were seen in 12% of patients <80 years and in 14% of patients ≥80 years, but most of the complications were seromas, which needed no puncture and were treated conservatively.…”

Section: Discussionmentioning

confidence: 99%

Single‐incision totally extraperitoneal inguinal hernia repair is safe and feasible in elderly patients: A single‐center experience of 365 procedures

Wakasugi

Tei

Anno

et al. 2016

Asian J Endoscop Surgery

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The aim of this study was to evaluate the feasibility and safety of SILS for totally extraperitoneal inguinal hernia repair in elderly patients. A retrospective analysis of 365 patients who underwent of SILS for totally extraperitoneal inguinal hernia repair from January 2012 to November 2015 at Osaka Police Hospital was performed, and the outcomes of patients aged <80 years and those aged ≥80 years were compared. There was a greater proportion of patients with an ASA score ≥3 among those ≥80 years than among those <80 years. The mean operative time for unilateral inguinal hernia was 94 min in patients <80 years and 98 min in patients ≥80 years. The mean operative time for bilateral inguinal hernia was 133 min in patients <80 years and 130 min in patients ≥80. Intraoperative bleeding was minimal in all patients. Conversion to a different operative procedure occurred in 3% (10/322) of patients <80 years and in 5% (2/43) of patients ≥80 years (P = 0.6). The mean postoperative hospital stay was 2.2 days for patients <80 years and 2.2 days for patients ≥80 years. The mean follow-up period 21 ± 14 months (range, 3-50 months) for patients <80 years and 17 ± 14 months (range, 3-50 months) for patients ≥80 years (P = 0.3). Postoperative complications were seen in 12% (38/322) of patients <80 years and in 14% (6/43) of patients ≥80 years (P = 0.7). A seroma was seen in 9% (28/322) of patients <80 years and in 12% (5/43) of patients ≥80 years (P = 0.6). A wound infection occurred in 2% (8/322) of patients <80 years. These seromas and wound infections were managed conservatively. Pulmonary embolism was seen in one patient <80 years (0.3%). There was no mortality or recurrence in either group. SILS for totally extraperitoneal inguinal hernia repair has good cosmesis and can be performed in elderly patients with acceptable morbidity and mortality.

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Single incision laparoscopic totally extraperitoneal hernioplasty (SIL-TEP): experience of 512 procedures

Abstract: The SIL-TEP is safe and technically feasible. Additional studies on long-term recurrence rates are needed to confirm the safety of SIL-TEP.

Cited by 21 publications

References 27 publications

Single-Port Laparoscopic Total Extraperitoneal Inguinal Hernia Repair without Fixation of the Mesh

Single-Port Laparoscopic Total Extraperitoneal Inguinal Hernia Repair without Fixation of the Mesh

A comparison of the oxidative stress response in single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair

Single‐incision totally extraperitoneal inguinal hernia repair is safe and feasible in elderly patients: A single‐center experience of 365 procedures

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