Comparison of Single Incision Laparoscopic Totally Extraperitoneal and Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: Initial Experience

Abstract

In our experience, LESS-TEP is a safe and feasible procedure with a short learning curve. In all analyzed parameters, it is comparable to conventional LAP-TEP. Further studies that compare LESS-TEP and conventional multiport LAP-TEP repairs with long-term follow-up evaluation are needed to confirm the initial experience.

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.…”

“…Three studies 22,40,45 contributed to a summative outcome. There was significant heterogeneity among trials (Q 2 = 6.24, p = 0.040, I 2 = 68); therefore the fixed-effects model was inappropriate.…”

“…21 Laparoendoscopic single site TEP may be performed using conventional instruments, although articu lating or curved instruments are in use. 22 Although patients have good outcomes after conventional laparoscopic techniques, some authors suggest that there is a preference for LESS, 23 which may be because of less postoperative pain 24,25 or possible better cosmesis. Some have argued there is no advantage to single port surgery.…”