The safety and usefulness of the single incision, transabdominal pre-peritoneal (TAPP) laparoscopic technique for inguinal hernia

Sato, Hirohiko; Shimada, Mitsuo; Kurita, Nobuhiro; Iwata, Takashi; Nishioka, Masanori; Morimoto, Shinya; Yoshikawa, Kozo; Miyatani, Tomohiko; Goto, Masakazu; Kashihara, Hideya; Takasu, Chie

doi:10.2152/jmi.59.235

Cited by 21 publications

(39 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was only 1 case of recurrence (supravesical hernia). Our recurrence rate of 4.3% (1 of 67 patients) lies within the range reported in the literature for laparoscopic inguinal hernia repair [11–13]. …”

Section: Discussionsupporting

confidence: 81%

Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair Using Memory-Ring Mesh: A Pilot Study

Matsutani

Nomura

Hagiwara

et al. 2016

Surgery Research and Practice

View full text Add to dashboard Cite

Purpose. To evaluate the feasibility, safety, and effectiveness of laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair using a memory-ring patch (Polysoft™ mesh). Patients and Methods. Between April 2010 and March 2013, a total of 76 inguinal hernias underwent TAPP repair using Polysoft mesh in 67 adults under general anesthesia. Three different senior resident surgeons performed TAPP repair under the instruction of a specialist surgeon. Nine patients had bilateral hernias. The 76 hernias included 37 indirect inguinal hernias, 29 direct hernias, 1 femoral hernia, 1 pantaloon hernia (combined direct/indirect inguinal hernia), and 8 recurrent hernias after open anterior hernia repair. The immediate postoperative outcomes as well as the short-term outcomes (mainly recurrence and incidence of chronic pain) were studied. Results. There was no conversion from TAPP repair to anterior open repair. The mean operation time was 109 minutes (range, 40–132) for unilateral hernia repair. Scrotal seroma was diagnosed at the operation site in 5 patients. No patient had operation-related orchitis, testicle edema, trocar site infection, or chronic pain during follow-up. Conclusions. The use of Polysoft mesh for TAPP inguinal hernia repair does not seem to adversely affect the quality of repair. The use of this mesh is therefore feasible and safe and may reduce postoperative pain.

show abstract

Section: Discussionsupporting

confidence: 81%

Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair Using Memory-Ring Mesh: A Pilot Study

Matsutani

Nomura

Hagiwara

et al. 2016

Surgery Research and Practice

View full text Add to dashboard Cite

show abstract

“…Six studies evaluated conversions, but only three patients from two studies required conversions . Conversions were the same in both treatment subgroups, and the overall estimates also showed no significant difference between SILH and MILH, without heterogeneity across trials (Fig.…”

Section: Resultsmentioning

confidence: 90%

“…One study was conducted in China, two in Japan, one in Croatia, one in the USA, one in India and two in South Korea . One study included three group dates and was divided into two groups of comparative dates to allow pooled analysis of the outcomes . Two of the records were children who underwent SILPEC, and six were adults who underwent SILTEP or SILTAP .…”

Section: Resultsmentioning

confidence: 99%

“…Several published papers that compared SILH to MILH were limited by their sample sizes and were not individually powered to detect small differences in outcomes . A pooled synthesis of these studies may provide further insight into the safety and comparative effectiveness of SILH and MILH.…”

Section: Discussionmentioning

confidence: 99%

“…Vas deferens injuries and vessel injuries are the two most feared intraoperative complications of laparoscopy hernioplasty in general, but no case of vas deferens injury was found and only one study reported vessel injuries (two SILH versus two MILH) . Hematoma and seroma, the most common post‐operative complications, were managed with percutaneous aspiration or conservative treatment . However, it should be noted that the follow‐up duration was short in each group, preventing long‐term evaluation of complications.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Single‐incision laparoscopic hernioplasty versus multi‐incision laparoscopic hernioplasty: a meta‐analysis

Lai

Xiao

et al. 2013

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background: Laparoscopic hernioplasty is the gold standard treatment for inguinal hernias. Recently, single-incision laparoscopic hernioplasty (SILH) has been suggested as an alternative technique. It is not evident whether the benefits of this procedure overcome the potential increased risk. Objective: The aim of this study was to compare the outcomes of SILH with conventional multi-incision laparoscopic hernioplasty (MILH) using a meta-analysis of available controlled clinical trials. Methods: Eligible articles were identified by searching several databases including Embase, Cochrane, PubMed and Google Scholar databases, up until May 2013. Evaluated outcomes were operative time, post-operative hospital stay, complications, conversion and recurrence. Results: Eight controlled clinical trials on 926 patients were randomized to either SILH (495 patients) or MILH (431 patients) for meta-analysis. Overall, there was no significant difference between SILH and MILH in complications, operative time for bilateral inguinal hernia repair, hospital stay, short-term recurrence or conversions. However, the operative time for unilateral inguinal hernia repair was significantly longer for SILH than for MILH (standardized mean difference 0.23 (95% confidence interval: 0.09-0.38); P = 0.00, I 2 = 73.6%). Conclusions: Our meta-analysis showed that SILH is feasible and safe in certain patients when compared to MILH, and carries a similar outcome, with the exception of longer operative times for unilateral inguinal hernia repair. Additional high-powered randomized trials are needed to determine whether SILH truly offers any advantages; these future studies should focus particularly on failure of technique, pain score, analgesia requirements, cosmesis and quality of life.

show abstract

Reduced Port in Laparoendoscopic Inguinal Hernia Repair

Lomanto

Khullar

Carus

et al. 2018

Laparo-Endoscopic Hernia Surgery

View full text Add to dashboard Cite

The safety and usefulness of the single incision, transabdominal pre-peritoneal (TAPP) laparoscopic technique for inguinal hernia

Abstract: The present findings show that the SILS-TAPP repair is safe and feasible for the repair of adult inguinal hernia.

Cited by 21 publications

References 31 publications

Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair Using Memory-Ring Mesh: A Pilot Study

Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair Using Memory-Ring Mesh: A Pilot Study

Single‐incision laparoscopic hernioplasty versus multi‐incision laparoscopic hernioplasty: a meta‐analysis

Reduced Port in Laparoendoscopic Inguinal Hernia Repair

Contact Info

Product

Resources

About