Transumbilical, Single-Port, Totally Extraperitoneal, Laparoscopic Inguinal Hernia Repair Using a Homemade Port and a Conventional Instrument: An Initial Experience

Abstract

A transumbilical, single-port, TEP laparoscopic hernioplasty using a homemade port and a conventional instrument permitted nearly scarless surgery for the treatment of inguinal hernias. Further studies are necessary before this approach can be recommended as a standard procedure.

The role of the laparoendoscopic single site totally extraperitoneal approach to inguinal hernia repairs: a review and meta-analysis of the literature

“…On further scrutiny, 16 articles 15,19,22,[35][36][37][38][39][40][41][42][43][44][45][46][47] were used in our literature review and 3 studies comparing LESS TEP with LAP TEP were found to have useful data for the summative outcome. One study commented on a previous report.…”

“…15,19,35,37,38,41,42,44,47 Seven studies used a single port access device. 15,19,36,38,39,41,43 Other techniques included the use of 3 ports through a single incision.…”

“…15,42 There were no recurrences reported up to 14 months after the operation. 15,19,36,38,39,[41][42][43]47 Comparison with LAP TEP approach Three studies 22,40,45 reported on a total of 128 patients in the LESS TEP group and 159 in the LAP TEP group.…”

“…In our literature review, some authors used a balloon 15,19,35,38,41,42,44,47 to create the preperitoneal space, whereas others used blunt dissection. 25,39,43,46 A range and combination of straight or curved and articulating instruments and 0°-45° cameras were used.…”

Single incision laparoscopic totally preperitoneal hernioplasty (SIL-TPP): Lessons learned from 102 procedures and initial experience

“…However, almost all SIL-TEP study reported before were operated through the space of the front of the posterior sheath of rectus abdominis and then enter the PPS for further operation. [ 5 , 9 , 14 , 15 ] Though many physicians have focused on the preperitoneal (posterior) space many years, [ 12 , 13 ] there was few evidence verified SIL-TEP through PPS was feasible and safe for inguinal hernia repairing. For our SIL-TEP procedure is conducted all in PPS, the procedure was named as SIL-TPP, for distinguishing with SIL-TEP.…”