Single-incision transabdominal preperitoneal and totally extraperitoneal repair for inguinal hernia: Early experience from a single center in Asia

Yang, George P.; Lai, Eric C. H.; Chan, Oscar S.H.; Tang, Chung‐Ngai; Li, M K W

doi:10.1111/j.1758-5910.2011.00098.x

Cited by 10 publications

(11 citation statements)

References 8 publications

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“…In this series, none of the patient was found to have umbilical hernia upon follow-up. Similar result with no occurrence of umbilical hernia was also shown in our experience with 15 elective cases of single incision hernia repair performed in 2010 to 2011 [2]. In our unit, polydioxanone suture (PDS TM II, Ethicon) was used to close the fascial defect.…”

Section: Discussionsupporting

confidence: 84%

“…The first single incision laparoscopic surgery (SILS) was performed in 2009 in our unit. The initial results of SILS in elective hernia repair in our center were comparable to those of conventional laparoscopic approaches [2].…”

Section: Introductionmentioning

confidence: 60%

“…Recent further advancement of laparoscopic surgery with single port instrument allowed further reduction of invasiveness of laparoscopic hernia repair. Subsequent reports had shown promising results of single incision laparoscopic repair in elective setting [2,6]. So far there was no published data about the use of single incision laparoscopy for patients presenting with acute strangulated groin hernia.…”

Section: Discussionmentioning

confidence: 99%

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Single Incision Laparoscopic Transabdominal Preperitoneal Repair for Strangulated Groin Hernia

Ng¹,

Yang²,

Li³

2013

IJCM

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Introduction: Single incision laparoscopic surgery (SILS) has become more popular for various surgical procedures including hernia surgery. Initial results of SILS in elective hernia repair were comparable to those of conventional laparoscopic approaches. However the use of SILS in emergency case has not been widely reported. This study aimed to evaluate the feasibility of the use of single incision laparoscopic transabdominal preperitoneal (TAPP) repair for patients presenting with strangulated groin hernia. Method: Emergency single incision laparoscopic TAPP repair were performed in our unit from June 2011 onwards for selected patients. Retrospectively data including the patient demographics, operative time, type of hernia, hospital stay, complications and recurrence rate were collected and analyzed. Result: There were a total of five patients in this series from June 2011 to June 2012. The median age was 62 years old with a male to female ratio of 4:1. Four patients had unilateral hernia (one femoral and three inguinal hernias) and one had bilateral hernia (unilaterally strangulated femoral hernia and bilaterally reducible indirect inguinal hernia). The median operative time was 75 minutes for patients with unilateral repair. None of the patients required bowel resection. The conversion rate to either conventional laparoscopic or open repair was zero. The median hospital stay was 2 days. No major complication or recurrence was detected. Conclusion: This series showed that single port laparoscopic TAPP repair for strangulated groin hernia is a feasible option with no major complication reported.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

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Single Incision Laparoscopic Transabdominal Preperitoneal Repair for Strangulated Groin Hernia

Ng¹,

Yang²,

Li³

2013

IJCM

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“…Since single incision laparoscopic surgery has gained in popularity, single incision TAPP has also been reported (4,5). It has an impact on the cosmetic result; however, it needs a 2 to 2.5 cm incision at the navel, which should be associated with the risk of incisional hernia and other wound-related complications.…”

Section: Discussionmentioning

confidence: 98%

“…This challenge was attempted also for laparoscopic transabdominal preperitoneal herniorrhaphy (TAPP), and thus both single incision TAPP (4,5) and needlescopic TAPP (2,6) have been developed . In the literature reporting on clinical outcomes, needlescopic TAPP procedures were performed by 3 mm and 5 mm instruments, whereas we developed instruments to perform TAPP via even smaller wounds, 2 mm, 5 mm and 2 mm (TAPP-252), in a reproducible manner.…”

Section: Introductionmentioning

confidence: 99%

Development of scar-less laparoscopic hernia repair (TAPP-252) facilitated by new 2mm instruments

Kamei¹,

Kanehira²,

Nakagi³

et al. 2016

Minimally Invasive Therapy & Allied Technologies

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European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery

et al. 2019

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BackgroundLaparoscopic surgery changed the management of numerous surgical conditions. It was associated with many advantages over open surgery, such as decreased postoperative pain, faster recovery, shorter hospital stay and excellent cosmesis. Since two decades single-incision endoscopic surgery (SIES) was introduced to the surgical community. SIES could possibly result in even better postoperative outcomes than multi-port laparoscopic surgery, especially concerning cosmetic outcomes and pain. However, the single-incision surgical procedure is associated with quite some challenges.MethodsAn expert panel of surgeons has been selected and invited to participate in the preparation of the material for a consensus meeting on the topic SIES, which was held during the EAES congress in Frankfurt, June 16, 2017. The material presented during the consensus meeting was based on evidence identified through a systematic search of literature according to a pre-specified protocol. Three main topics with respect to SIES have been identified by the panel: (1) General, (2) Organ specific, (3) New development. Within each of these topics, subcategories have been defined. Evidence was graded according to the Oxford 2011 Levels of Evidence. Recommendations were made according to the GRADE criteria.ResultsIn general, there is a lack of high level evidence and a lack of long-term follow-up in the field of single-incision endoscopic surgery. In selected patients, the single-incision approach seems to be safe and effective in terms of perioperative morbidity. Satisfaction with cosmesis has been established to be the main advantage of the single-incision approach. Less pain after single-incision approach compared to conventional laparoscopy seems to be considered an advantage, although it has not been consistently demonstrated across studies.ConclusionsConsidering the increased direct costs (devices, instruments and operating time) of the SIES procedure and the prolonged learning curve, wider acceptance of the procedure should be supported only after demonstration of clear benefits.

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Single-incision transabdominal preperitoneal and totally extraperitoneal repair for inguinal hernia: Early experience from a single center in Asia

Cited by 10 publications

References 8 publications

Single Incision Laparoscopic Transabdominal Preperitoneal Repair for Strangulated Groin Hernia

Single Incision Laparoscopic Transabdominal Preperitoneal Repair for Strangulated Groin Hernia

Development of scar-less laparoscopic hernia repair (TAPP-252) facilitated by new 2mm instruments

European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery

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