Single-incision trans-abdominal preperitoneal mesh hernioplasty

Roy, Prabal; De, Anushtup

doi:10.4103/0972-9941.72376

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…But the comparative time as compared to when tacks were being used was significantly more although the cost was significantly less. Our operative time of 38.3 min, for unilateral SITAPP with tacks is less than reports of 45.5 mins,[ 1 ] 51 +/− 17 mins,[ 19 ] 54.11 min,[ 22 ] 59.33 min,[ 12 ] 67 mins[ 19 ] and 120 mins[ 13 ] for the same procedure. Unfortunately, there are no reports on SITAPP completed with intracorporeal suturing of the peritoneal flaps.…”

Section: Discussionmentioning

confidence: 68%

“…A series of 15 patients, in whom SITAPP had been carried out, has been reported recently. [ 22 ] Routine ports and rigid instruments have been used in this study. We too perform all our procedures with routine one 10 mm and two 5 mm tube ports and routine rigid instruments.…”

Section: Discussionmentioning

confidence: 99%

“…Preference for tacks is because of the technical difficulty of performing intracorporeal suturing in SITAPP. [ 22 ] We have now sutured the flaps in 109 hernias, with intracorporeal continuous suturing with 2-0 polyglycholic sutures on 40 mm needle. The suturing in the initial stages was demanding but once we learned to do it right, we could accomplish it fairly easily.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

2015

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“…Unfortunately, the umbilical scar was obvious, and the cosmesis was undesirable. [ 25 ] Our easy-sampling system will not increase the financial burden of the patient and is particularly suitable to junior hospitals where hernia is a common disease (Fig. 3 ).…”

Section: Discussionmentioning

confidence: 99%

Trans-umbilical single-incision laparoscopic trans-abdominal pre-peritoneal hernioplasty of inguinal hernia by self-made glove port

Chen

Huang

et al. 2020

Medicine

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Laparoscopic inguinal herniorrhaphy has been well established for the management of primary and recurrent inguinal hernias. Single-incision laparoscopic surgery (SILS) has now been accepted as a less invasive alternative to conventional laparoscopic surgery. However, commercially available access devices for SILS had disadvantages such as rigidness and crowding. This series aimed to analyze the feasibility and safety of single-incision laparoscopic trans-abdominal pre-peritoneal hernioplasty (SILS-TAPP) by applying our self-made device for managing inguinal hernia. We collected and reviewed the medical records of patients who received SILS-TAPP using a self-made glove-port device between January 2014 and January 2016. All operations were performed by the same surgical team. The demographics and intra- and perioperative outcomes were evaluated. SILS-TAPP was successfully performed in 105 patients (131 inguinal hernia repairs). No major intra- and postoperative morbidities were encountered, and no conversion to a conventional 3-port approach or open surgery was required. The mean operative time was 73.5 min and the mean postoperative hospital stay was 2.1 days. Three minor short-term complications were noted, which were resolved without surgical intervention. One recurrence was diagnosed during follow-up and treated using a second TAPP procedure. SILS-TAPP was shown to be a feasible, safe procedure in patients with an inguinal hernia. A simple self-made glove-port device was proven as a practical method of SILS-TAPP.

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“…Operative times for stand-alone single-port procedures in the literature Single-port procedures TAPP (12,13) Gastric wedge resection (14,15) Cholecystecomy (16)(17)(18) Ventral hernia repair (19)(20)(21) Adrenalectomy (22,23) Mean operative times (min) 49-54 66-86 65-76 39-57 60-120…”

mentioning

confidence: 99%

Single‐port endo‐laparoscopic surgery in combined abdominal procedures

Kim

Lomanto

Lawenko

et al. 2013

Asian J Endoscop Surgery

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Single-port endo-laparoscopic surgery has gained support in the surgical community because it is perceived to offer a better postoperative outcome as it requires only a single incision. We write this prospective observational study to ascertain the feasibility and safety of this technique in patients otherwise requiring two operations. Five patients who underwent double procedures with a single-port device were reviewed: Case 1, a transabdominal preperitoneal hernia repair and gastric wedge resection; Case 2, cholecystectomy and diaphragmatic hernia repair; Case 3, oophorectomy and incisional hernia repair; Case 4, anterior resection of the rectum and hepatic segmentectomy; and Case 5, left adrenalectomy and cholecystectomy. Patient demographics, type of port used, operative time, complications and incision length were collected. Mean operative time for the cases ranged from 100 to 315 min. Incision length for the single-port device was 2 cm. In Case 2, an additional 5-mm port was used and an intraoperative complication involving a laceration of the liver occurred during the suturing of the gallbladder fundus. An additional 8-cm lower abdominal incision (Pfannenstiel) was required in Case 4 to complete the colonic anastomosis and for specimen retrieval. Single-port endo-laparoscopic surgery is a feasible and safe technique for approaching double procedures. It drastically reduces the number of scars that a double procedure creates, and if difficulty arises, another port can always be added to ease the operation. It can also potentially reduce the number of admissions and anesthesia that a patient undergoes.

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Single-incision trans-abdominal preperitoneal mesh hernioplasty

Cited by 5 publications

References 8 publications

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

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

Trans-umbilical single-incision laparoscopic trans-abdominal pre-peritoneal hernioplasty of inguinal hernia by self-made glove port

Single‐port endo‐laparoscopic surgery in combined abdominal procedures

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