A comparative study of single incision versus conventional laparoscopic inguinal hernia repair

Yang, George Pei Cheung; Tung, Karen L.M.

doi:10.1007/s10029-014-1246-4

Cited by 25 publications

(21 citation statements)

References 12 publications

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“…Some reports showed comparable postoperative pain, and other reports didn't mention about pain between two groups. 1,5,6,10 In our study and some other researchers described that patients suffered more pain on immediate postoperative day. 1,3 In our SUTI-TEP experience of using many different kinds of SILS port including home-made glove port, it seemed that patients suffered more immediate postoperative pain after SILS than after conventional multi-port surgery (data not shown).…”

Section: Discussionsupporting

confidence: 67%

“…4 The safety and feasibility outcome results from a current study, which is designed to compare SUTI-TEP and C-TEP procedures, have shown no differences in length of hospital stay, POD 7 th pain VAS score, postoperative complications, and chronic pain just like as demonstrated by other papers. 5,6 No recurrence was noted during follow up (5~36 months) in both groups.…”

Section: Discussionmentioning

confidence: 80%

“…2 Conventional TEP procedures was performed using a single 15 mm infra-or subumbilical incision and two other 5 mm incisions in the midlines and the rest of procedure was same as reported before. [3][4][5][6] In addition to patient demographic data, we recorded perioperative outcomes (operative time, length of hospital stay, postoperative pain, postoperative complications, chronic pain, and recurrence). The postoperative pain score was assessed using the Visual Analog Scale (VAS), ranging from 0 to 10, on the first and seventh day postoperative.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

A Comparative Analysis of Single Umbilical Tangential Incision vs. Conventional Three-port Totally Extraperitoneal Inguinal Hernia Repair

Choi

Sul

2017

J Minim Invasive Surg

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Purpose:We have explored the question of what benefits SUTI-TEP can provide over conventional three-port TEP (C-TEP) surgery for the treatment of inguinal hernia. Methods:One hundred forty cases (70 SUTI-TEP and 70 C-TEP) were reviewed in this study. SUTI-TEP procedure was carried out with SILS TM port as we reported before. Patient demographics and perioperative outcomes of SUTI-TEP were analyzed and compared with those of C-TEP.Results: There was no conversion to open surgery or C-TEP in SUTI-TEP group. Median VAS immediate postoperatively was slightly higher in SUTI-TEP group, but it was statistically significant. POD 7 th day pain after surgery were similar in both groups. Regarding the length of operation time, SUTI-TEP group (71.2 min) was significantly longer than that of the C-TEP group (41 min) (p＜0.001). There was no major morbidity or mortality postoperatively in either group. There was also no recurrence or chronic pain during follow up. Patient overall satisfaction including cosmetic outcome was excellent in SUTI-TEP group. Conclusion:Although the longer operation time tends to be required, SUTI-TEP can provide better cosmesis and patient satisfaction, and also safety. That may be good indicator of the success of after surgery. Also we should not presume that one large incision causes less pain than small multiple incision because it is just single one. If there is more pain in one single wound, we should find the solution through the innovation of technology or preventive measures.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 80%

Section: Methodsmentioning

confidence: 99%

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A Comparative Analysis of Single Umbilical Tangential Incision vs. Conventional Three-port Totally Extraperitoneal Inguinal Hernia Repair

Choi

Sul

2017

J Minim Invasive Surg

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“…[910] The most important advantage of SILS has been reported as the improvement in cosmetic results. [11] Pain scores vary from lower to higher scores when compared to conventional laparoscopy. One of the important results of this study is that the SILS-TAPP is associated with high PSH rate when compared with TAPP.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of single incision laparoscopic surgery and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair

et al. 2017

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BACKGROUND:Laparoscopic surgery has been a frequently performed method for inguinal hernia repair. Studies have demonstrated that the laparoscopic transabdominal preperitoneal (TAPP) approach is an appropriate choice for inguinal hernia repair. Single-incision laparoscopic surgery (SILS) was developed to improve the cosmetic effects of conventional laparoscopy. The aim of this study was to evaluate the safety and feasibility of SILS-TAPP compared with TAPP technique.MATERIALS AND METHODS:A total of 148 patients who underwent TAPP or SILS-TAPP in our surgery clinic between December 2012 and January 2015 were enrolled. Data including patient demographics, hernia characteristics, operative time, intraoperative and postoperative complications, length of hospital stay and recurrence rate were retrospectively collected.RESULTS:In total, 60 SILS-TAPP and 88 TAPP procedures were performed in the study period. The two groups were similar in terms of gender, type of hernia, and American Society of Anesthesiologists (ASA) classification score. The patients in the SILS-TAPP group were younger when compared the TAPP group. Port site hernia (PSH) rate was significantly high in the SILS-TAPP group, and all PSHs were recorded in patients with severe comorbidities. The mean operative time has no significant difference in two groups. All SILS procedures were completed successfully without conversion to conventional laparoscopy or open repair. No intraoperative complication was recorded. There was no recurrence during the mean follow-up period of 15.2 ± 3.8 months.CONCLUSION:SILS TAPP for inguinal hernia repair seems to be a feasible, safe method, and is comparable with TAPP technique. However, randomized trials are required to evaluate long-term clinical outcomes.

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“…This trend has led to trials of single incision techniques for both the transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) approaches [2,[4][5][6][7]. However, single incision laparoscopic surgery (SILS) has met with some resistance because of limitations including the difficult ergonomics of single incision instruments, the reported increase in port-site herniation following SILS, and the relatively steep learning curve [8][9][10]. It may be these challenges that have precluded the widespread adoption of SILS in laparoscopic inguinal hernia repair.…”

Section: Introductionmentioning

confidence: 99%

Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience

Fuglestad

Waisbren

2015

Hernia

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A comparative study of single incision versus conventional laparoscopic inguinal hernia repair

Abstract: Our results have shown that in experienced hands, SIL is feasible and as safe as CL. Further randomized trials should be performed to evaluate the clinical application of single incision TEP and TAPP.

Cited by 25 publications

References 12 publications

A Comparative Analysis of Single Umbilical Tangential Incision vs. Conventional Three-port Totally Extraperitoneal Inguinal Hernia Repair

A Comparative Analysis of Single Umbilical Tangential Incision vs. Conventional Three-port Totally Extraperitoneal Inguinal Hernia Repair

Clinical outcomes of single incision laparoscopic surgery and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair

Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience

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