A systematic review of hernia surgery in SIL (single-incision laparoscopy) technique

Petter-Puchner, Alexander H.; Brunner, W; Gruber-Blum, Simone; Glaser, K.; Fortelny, René H.

doi:10.1007/s10353-014-0258-8

Cited by 5 publications

(3 citation statements)

References 32 publications

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“… 5 , 13 In contrast, a current review referenced 4 available sTAPP trials and could not verify superiority in pain reduction over conventional TAPP repair. 14 However, reduction of postoperative wound pain in patients who underwent nTAPP did not significantly improve incidence of chronic groin pain. Such pain still occurred in 2% of our nTAPP group, compared with 2.8% in the sTAPP group.…”

Section: Discussionmentioning

confidence: 93%

Needlescopic Surgery Versus Single-port Laparoscopy for Inguinal Hernia

Chan¹,

Hollinsky²

2015

JSLS

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Background and Objectives:In recent years, 2 modifications of laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair—needlescopic (nTAPP) surgery and single-port (sTAPP) surgery—have greatly improved patient outcomes over traditional approaches. For a comparison of these 2 modifications, we sought to investigate and compare the extent of surgical trauma and postoperative consequences for the abdominal wall in these two procedures.Methods:In a retrospective study, 50 nTAPP and 35 sTAPP procedures occurring at a community hospital from November 1, 2009, through July 31, 2012 were reviewed. Intraoperative data, including length of the umbilical skin incision and operative time, were recorded. A follow-up evaluation included investigation of hernia recurrence, postoperative pain, abdominal wall mobility, cosmetic satisfaction, and period of sick leave.Results:The mean umbilical skin incision was 13 ± 4 mm in nTAPP vs 27 ± 3 mm in sTAPP (P < .001). The nTAPP procedure required less operating time than the sTAPP procedure (54.8 ± 16.9 minutes vs 85.9 ± 19.7 minutes; P < .001). The mean immediate postoperative pain score on the visual analog scale was 2.7 ± 2.1 in the nTAPP group and 4.4 ± 1.9 in the sTAPP group (P = .016). In addition, patients who underwent nTAPP had a shorter period of sick leave (11.2 ± 8.4 days vs 24.1 ± 20.1 days; P = .02). At the follow-up evaluation after approximately 30 months, abdominal wall mobility and cosmetic satisfaction were equally positive, with no hernia recurrence.Conclusion:In patients with uncomplicated inguinal hernia, the nTAPP procedure, with less surgical trauma and operating time, has distinct advantages in reduction of immediate postoperative pain and sick leave time.

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Section: Discussionmentioning

confidence: 93%

Needlescopic Surgery Versus Single-port Laparoscopy for Inguinal Hernia

Chan¹,

Hollinsky²

2015

JSLS

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“…This includes the reduced risks of wound infection, pain, bleeding, organ injury, and port site hernia [24]. In addition, one important feature of SILS is since the wound is at umbilicus, it leaves a single small scar that is well-hidden, it is almost unseen when the wound is healed, thereby it is almost "scarless" [10,21,25,26]. In general, SILS techniques take about the same amount of time to do as traditional laparoscopic surgeries.…”

Section: Sils In Hernia Repairmentioning

confidence: 99%

“…From financial point of view, the use of a single-port device and the increased skills needed to perform, SILS is slightly more costly to conventional multi-port laparoscopic surgery [25][26][27]. Generally, the length of stay in the hospital is shorter and the need of medical assistance is lesser than traditional laparoscopic surgeries [30].…”

Section: Sils In Hernia Repairmentioning

confidence: 99%

New Laparoscopic Surgery in Inguinal Hernia Repair

Rudiman¹,

Winata²

2019

Hernia Surgery [Working Title]

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Laparoscopic inguinal herniorrhaphy has become widely accepted as an effective alternative to the treatment of hernias with the anterior approach. It has success rates identical to those of the conventional method and quickens recovery by decreasing time until return to work or physical activities. With the introduction of single incision laparoscopic surgery (SILS), there has been an exponential increase in the number of SILS hernia repair. It probably represents the single most exciting innovation in laparoscopic surgery of the last 2 decades. The main premise of SILS is the use of completely blunt ports, which will negate the risks of bowel and vascular injuries, less wound, less postoperative pain, cosmetically more favorable and lower the recurrent rate.

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Future Perspectives on Complications in Inguinal Hernia Repair

Fortelny

Petter-Puchner²

2017

Inguinal Hernia Surgery

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A systematic review of hernia surgery in SIL (single-incision laparoscopy) technique

Cited by 5 publications

References 32 publications

Needlescopic Surgery Versus Single-port Laparoscopy for Inguinal Hernia

Needlescopic Surgery Versus Single-port Laparoscopy for Inguinal Hernia

New Laparoscopic Surgery in Inguinal Hernia Repair

Future Perspectives on Complications in Inguinal Hernia Repair

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