Single incision laparoscopic totally extraperitoneal hernioplasty: lessons learned from 1,231 procedures

Lee, Yoo Jung; Kim, Ji Hoon; Kim, Chang‐Hyun; Lee, Gyeo Ra; Kim, Hyung Jin

doi:10.4174/astr.2021.100.1.47

Cited by 10 publications

(16 citation statements)

References 19 publications

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“…Although the study did not compare SIL-TPP with SIL-TEP or SIL transabdominal preperitoneal approach, our findings were comparable with their results in intraoperative, conversion rates, and postoperative complication rates. In our study, the intraoperative complication rate was 21.57% which is comparable to the results reported of SIL-TEP [14] and conventional laparoscopic (CL) TEP. [9,19,20] Our figures were also comparable after modifying by excluding peritoneum and sac tearing from intraoperative complication rates.…”

Section: Discussionsupporting

confidence: 88%

“…Hence, the intraoperative complication rate was relatively superior to SIL-TEP and CL-TEP. [ 9 , 14 , 19 , 20 ] In our study, the peritoneum tearing usually occur in expanding the epigastric, lateral peritoneum, reducing sac or amputation the sac. However, the peritoneum below the arcuate line seldom occur peritoneum tearing because the peritoneum at the position was thickness relatively for there is a layer preperitoneal fat covering on the peritoneum.…”

Section: Discussionmentioning

confidence: 69%

“…Since the first SIL-TEP reported by Filipovic-Cugura et al, [ 5 ] the SIL-TEP has gained an increasing popularity worldwide. [ 14 – 16 ] In addition, the results showed SIL-TEP had less invasive surgery and better cosmetic results than conventional laparoscopic TEP. [ 7 , 9 ] The abdominal wall in groin area is conventionally considered that it was comprized by nine layers.…”

Section: Discussionmentioning

confidence: 99%

“…However, SIL-TEP reported before were operated through the front of the posterior rectus sheath. [ 5 , 9 , 14 , 15 ] There was few evidence verified SIL-TEP through PPS was feasible and safe for repairing inguinal hernia (SIL-TPP procedure). In this study, the results showed the SIL-TPP is also feasible and safe procedure.…”

Section: Discussionmentioning

confidence: 99%

“…However, almost all SIL-TEP study reported before were operated through the space of the front of the posterior sheath of rectus abdominis and then enter the PPS for further operation. [ 5 , 9 , 14 , 15 ] Though many physicians have focused on the preperitoneal (posterior) space many years, [ 12 , 13 ] there was few evidence verified SIL-TEP through PPS was feasible and safe for inguinal hernia repairing. For our SIL-TEP procedure is conducted all in PPS, the procedure was named as SIL-TPP, for distinguishing with SIL-TEP.…”

Section: Introductionmentioning

confidence: 99%

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Single incision laparoscopic totally preperitoneal hernioplasty (SIL-TPP): Lessons learned from 102 procedures and initial experience

Zhou

Wang

et al. 2022

Medicine

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Background: The abdominal wall in groin area is conventionally considered that it was comprised by 9 layers. Single incision laparoscopy totally extraperitoneal hernioplasty (SIL-TEP) reported before were operated through the front of the posterior rectus sheath. Method: 102 SIL-TPP were conducted from October 2018 to October 2020 at The Affiliated Hospital of Medical School of Ningbo University using a self-made single-port device and standard laparoscopic instruments. Clinical data, demographic and intraoperative findings, and short-term postoperative outcomes were analyzed. Results: Of the 102 hernias treated, 46 were right inguinal hernias, 33 were left inguinal hernias and 23 were double-side inguinal hernias. All patients received the SIL-TPP and no conversion happened. The mean left-side and right-side hernia operative time was almost same. The left-side and right-side operative time were 75.48 ± 26.95 and 76.24 ± 26.09 minutes, respectively. The mean operative time was 75.92 ± 26.45 (range, 29–170 minutes) in unilateral inguinal hernia. Mean operative time was 104.17 ± 28.58 minutes (range, 67–180 minutes) in double-side inguinal hernia. The intraoperative complications rate was 21.57 (22/102) and all the complications were Peritoneum or sac tearing. Postoperative complications occurred in 3 cases (1 case wound seroma, 1 case urinary retension and 1 case upper respiratory infection) and were successfully treated conservatively. The mean hospital stay was 2.8646 ± 1.38 days. The 24 hours Visual analogue scale score was 2.28 ± 0.77. During follow-up to June 2022, no recurrence case occurred. Conclusion: SIL-TPP is safe and feasible. SIL-TPP has its unique skills and advantages to treat inguinal hernia. Large-scale randomized controlled trials comparing SIL-TPP inguinal hernia repair with conventional single port and conventional three port laparoscopic totally extraperitoneal hernioplasty with short-term outcome and long-term recurrence rate are needed to confirm these results.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Single incision laparoscopic totally preperitoneal hernioplasty (SIL-TPP): Lessons learned from 102 procedures and initial experience

Zhou

Wang

et al. 2022

Medicine

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Single-incision laparoscopic transabdominal preperitoneal hernioplasty: 1,054 procedures and experience

Jiao

Zhu

Zhou

et al. 2023

Hernia

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Purpose Although there have been numerous studies on single-incision laparoscopic inguinal hernia repair (SIL-IHR), the short- and long-term outcomes in patients from a large single institution who underwent single-incision laparoscopic transabdominal preperitoneal hernioplasty (SIL-TAPP) have rarely been reported. The purpose of this study is to evaluate the short- and long-term outcomes of SIL-TAPP and its safety and feasibility in patients from a large single institution. Methods The details of 1,054 procedures in 966 patients who underwent SIL-TAPP at the Affiliated Hospital of Nantong University from January 2015 to October 2022 were retrospectively analysed. SIL-TAPP was performed completely through the umbilicus using conventional laparoscopic instruments. Short-term and long-term outcomes of SIL-TAPP were collected by outpatient and telephone follow-ups. In addition, we further compared the operation time, length of postoperative hospital stay, and postoperative complications of patients with simple and complicated unilateral inguinal hernias. Results A total of 1,054 procedures were performed for 878 unilateral inguinal hernias and 88 bilateral inguinal hernias. In total, there were 803 (76.2%) indirect inguinal hernias, 192 (18.2%) direct inguinal hernias, 51 (4.8%) femoral hernias and 8 (0.8%) combined hernias. The mean operative time was 35.5 ± 17.0 min for unilateral inguinal hernias and 51.9 ± 25.5 min for bilateral inguinal hernias. There was one (0.1%) conversion to two-incision laparoscopic transabdominal preperitoneal hernioplasty. No intraoperative haemorrhages, inferior epigastric vessel injury or nerve damage occurred. Postoperative complications were minor and could be resolved without surgical intervention. The mean length of hospital stay was 1.3 ± 0.8 days. The median follow-up was 44 months, no trocar hernia occurred, and there was one (0.1%) recurrence. The operation time in the complicated inguinal hernia group was significantly higher than that in the simple inguinal hernia group (38.9 ± 22.3 vs. 35.0 ± 15.6, p = 0.025). The length of postoperative hospital stay and complication rate of the complicated inguinal hernia group were slightly higher than those of the simple inguinal hernia group, but the difference was not statistically significant. Conclusion SIL-TAPP is safe and technically feasible, and both short- and long-term outcomes are acceptable.

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Safety and feasibility of single-incision robotic totally extra-peritoneal repair for inguinal hernia using the da Vinci Xi platform: a single-center prospective pilot study

Lee,

2024

Hernia

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Single incision laparoscopic totally extraperitoneal hernioplasty: lessons learned from 1,231 procedures

Cited by 10 publications

References 19 publications

Single incision laparoscopic totally preperitoneal hernioplasty (SIL-TPP): Lessons learned from 102 procedures and initial experience

Single incision laparoscopic totally preperitoneal hernioplasty (SIL-TPP): Lessons learned from 102 procedures and initial experience

Single-incision laparoscopic transabdominal preperitoneal hernioplasty: 1,054 procedures and experience

Safety and feasibility of single-incision robotic totally extra-peritoneal repair for inguinal hernia using the da Vinci Xi platform: a single-center prospective pilot study

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