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A pilot study for one-stop endoscopic total extraperitoneal inguinal hernia repair
Ewoud H Jutte1, Huib A Cense, Alphons H M Dur
1Department of Surgery, The Red Cross Hospital, Vondellaan 13, Beverwijk, The Netherlands.
Surgical Endoscopy
|April 17, 2010
Summary
One-stop endoscopic surgery for inguinal hernias is feasible and safe, with most patients satisfied. This approach streamlines care, reducing hospital visits and potentially costs.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
- Patient Care Pathways
Background:
- One-stop surgery integrates evaluation, anesthesia, surgery, and discharge into a single day.
- Endoscopic total extraperitoneal (TEP) inguinal hernia repair is a minimally invasive technique.
Purpose of the Study:
- To evaluate the feasibility of one-stop endoscopic TEP inguinal hernia surgery.
- To assess patient satisfaction with the one-stop surgical model.
- To explore the potential benefits of this streamlined approach.
Main Methods:
- Prospective study involving patients with inguinal hernias informed by general practitioners.
- Patients underwent one-stop TEP inguinal hernia surgery.
- Pre- and postoperative questionnaires assessed patient satisfaction.
Main Results:
- 52 patients were referred over 12 months; 50 underwent successful TEP surgery.
- High diagnostic accuracy by general practitioners (51/52).
- 49 out of 50 patients were satisfied and willing to repeat the one-stop procedure.
Conclusions:
- One-stop endoscopic TEP inguinal hernia surgery is a feasible and safe clinical pathway.
- The majority of patients reported satisfaction and willingness for repeat procedures.
- This model reduces hospital visits for inguinal hernia repair, suggesting cost-effectiveness.
