A comparative study of standard versus laparoendoscopic single-site surgery (LESS) totally extraperitoneal (TEP) inguinal hernia repair

Abstract

Our short-term experience with LESS TEP inguinal hernia repair has shown that in experienced hands, inguinal hernia repair via the LESS TEP technique is as safe as the standard TEP technique. However, based on our evidence, we currently believe that the LESS TEP technique is not an efficacious surgical alternative to the standard TEP technique for inguinal hernias.

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

“…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).…”

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.…”

“…One study commented on a previous report. 37 Three studies 22,40,45 compared LESS TEP with LAP TEP and were combined to produce a summative outcome. A flow chart of the literature search according to PRISMA guidelines 48 is shown in Figure 1.…”

“…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.…”

A Literature Review on the Role of Totally Extraperitoneal Repairs for Groin Pain in Athletes

“…35 Further developments, especially in relation to cosmesis, include single-port surgery but may take longer to perform than standard TEP repairs. 36 Azurin et al 22 Srinivasan et al 25,a Paajanen et al 24 Kluin et al Because of the spectrum of challenges involved when treating sports hernias, it is important to ensure that a specific patient-centered, multidisciplinary approach is used, 10,37 and that may involve tenotomy for adductor type pain. 14,24,26 Furthermore, should a TEP repair be performed prophylactically in patients with asymptomatic contralateral groins?…”