Single incision laparoscopic surgery transabdominal pre-peritoneal hernia repair - case report.

Pesta, Wiesław; Kurpiewski, Waldemar; Łuba, Magdalena; Szynkarczuk, Rafał; Grabysa, Radosław

doi:10.5114/wiitm.2011.27374

Cited by 10 publications

(9 citation statements)

References 10 publications

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“…Pain and the risk of incarceration are the most important indications for operative treatment of inguinal hernia in children. In addition to conventional open techniques of inguinal hernia surgical repair, there have been many reports regarding the possibility of laparoscopic treatment of inguinal hernia since the 1990s [ 6 – 12 ]. In 2004, in Poland, Patkowski introduced a method of laparoscopic herniorrhaphy using his own technique.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique - own experience.

Wolak¹,

Patkowski²

2014

Videosurgery and Other Miniinvasive Techniques

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IntroductionPercutaneous internal ring suturing (PIRS) is a method of laparoscopic herniorrhaphy, i.e. percutaneous closure of the internal inguinal ring under the control of a telescope placed in the umbilicus.AimTo evaluate the usefulness of the PIRS technique.Material and methodsFifty-five children (39 girls and 16 boys) underwent surgery using this method in our institution between 2008 and 2010.ResultsIn 10 cases the presence of an open inguinal canal on the opposite side was also noted during surgery, and umbilical hernia was recognized in 2 patients. In 5 cases it was necessary to convert to the open surgery because of the inability to continue the laparoscopic procedure. In 1 case, male pseudohermaphroditism was diagnosed during surgery. Recurrent inguinal hernia required a conventional method of surgery in 1 child. Other children did not exhibit the characteristics of hernia recurrence. The inguinal canals were followed up with postoperative ultrasound examination in 29 children. In 23 children, the ultrasound examination showed no dilatation of the inguinal canal. In the other 6 children dilatation of the inguinal canal or the presence of fluid within the inguinal canal was observed during ultrasound. In 6 children symptoms such as swelling and soreness around the inguinal canal developed within 3 to 6 months after surgery.ConclusionsInguinal hernia surgery using the PIRS procedure is an alternative, effective, minimally invasive method of surgery. Visualization of the peritoneal cavity allows for detection of other abnormalities, as well as for performing other procedures during the same session (such as closing the contralateral inguinal canal or umbilical hernia surgery).

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Section: Introductionmentioning

confidence: 99%

Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique - own experience.

Wolak¹,

Patkowski²

2014

Videosurgery and Other Miniinvasive Techniques

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“…However, we suggest that meticulous closure of the fascial defect may be needed in cases with large peritoneal and fascial defects or high-risk factors for TSH, even at 8-mm trocar or non-midline sites. Moreover, the trocar should be removed under direct vision and illumination to prevent any bowel entrapment or port removal and fascial defects at the port site [6, 7]. After TSH occurred, we changed the working port placement instead of using the previous bikini-line incision.…”

Section: Discussionmentioning

confidence: 99%

Is the 8-mm robotic port safe? A case of trocar site hernia after robotic cholecystectomy using the da Vinci Xi system.

Cho¹,

Yoo²,

Kim³

2018

Videosurgery and Other Miniinvasive Techniques

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With the increase in the frequency of robotic surgery, complications have also increased, including trocar site hernias, which rarely occur at the 8-mm port site after robotic cholecystectomy using the da Vinci Xi system. A 37-year-old woman was diagnosed with cholecystitis on abdominal sonography. She underwent robotic cholecystectomy using a bikini-line incision. However, after postoperative day 2, she presented to the emergency room with small bowel obstruction secondary to a herniated bowel loop through the left 8-mm port site. After failure to resolve the ileus, the patient underwent emergency surgery, and bowel resection and anastomosis of the ischemic area were performed. After surgery, the patient was discharged without complications. Although hernias develop less commonly at 8-mm robotic port sites, surgeons should carefully close the ports, especially in cases with large fascial defects or a high risk of herniation.

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“…Series reports for SITAPP repair for inguinal hernias, too, are very few and interspersed with case reports. [ 11 12 19 20 21 ] Menenakos[ 13 ] reported on a patient with B/L inguinal hernia in whom they performed a SITAPP. The incision was supraumbilical and Triport access was used, however type of instruments has not been mentioned.…”

Section: Discussionmentioning

confidence: 99%

“…[ 13 ] Pesta et al . [ 21 ] used the Coviden port for SITAPP, Ishikawa et al . [ 17 ] reported on a patient of inguinal hernia where SITAPP repair was done with the aid of Radius Surgical system for suturing.…”

Section: Discussionmentioning

confidence: 99%

Single incision laparoscopic TAPP with standard laparoscopic instruments and suturing of flaps: A continuing study

2015

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BACKGROUND:Single incision laparoscopic surgery, especially transumbilical, should be the closest to replicate the minimal access results achieved by natural orifice endoscopic surgery (NOTES). This study of single incision transabdominal preperitoneal (SITAPP) inguinal hernia repair is a continuing study exploring the peroperative variables and short and long term complications of this procedure.PATIENTS AND METHODS:All the 183 patients were operated by the same surgeon through a horizontal transumbilical incision positioned across the lower third of the umbilicus. Port access was through three separate transfacial punctures. Routine rigid instruments were used and the peritoneal flaps were either tacked or sutured into place. Patients with irreducible hernia and obstructed hernia were included, while those with strangulated hernia were excluded.RESULTS:All the patients were male with an average age of 41.4 years. Twenty four patients had bilateral hernia, 15 patients had irreducible and 6 patients had obstructed hernia. The mean operating time was 38.3 mins for unilateral hernias completed with tackers and 42.8 mins in those with intracorporeal suturing. The corresponding operating time for bilateral hernias was 53.2 and 62.7 minutes. There was minimal serous discharge from the umbilicus in 8 patients, port site infection in 1 patient and recurrence in 2 patients over a 36 months period.CONCLUSIONS:SITAPP for groin hernias, performed with conventional instruments is feasible, easy to learn, has a very high patient acceptance and is cosmetically superior to conventional TAPP. The use of tackers reduces the operating time significantly.

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Single incision laparoscopic surgery transabdominal pre-peritoneal hernia repair - case report.

Cited by 10 publications

References 10 publications

Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique - own experience.

Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique - own experience.

Is the 8-mm robotic port safe? A case of trocar site hernia after robotic cholecystectomy using the da Vinci Xi system.

Single incision laparoscopic TAPP with standard laparoscopic instruments and suturing of flaps: A continuing study

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