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Laparoscopic transabdominal preperitoneal (TAPP) hernia repair via a single port
Tiong Thye Goo1, Rajat Goel, Michael Lawenko
1Department of Surgery, Minimally Invasive Surgical Centre, National University Hospital, Singapore. tiong_thye_goo@nuhs.edu.sg
Introduction:
To report our initial experience and outcome of 7 cases of single port laparoscopic transabdominal preperitoneal (TAPP) hernia repair.
Methods:
Between May 2009 and June 2010, 7 patients underwent single port TAPP hernia repair for inguinal hernia. The device was placed through a single 2 cm infraumbilical incision. Patients' demographics, hernia characteristics, operative time, conversion rate, intraoperative and postoperative complications, and recurrence were measured. Five patients had unilateral and 2 had bilateral hernias.
Results:
The mean operative time was 67 minutes (range: 36 to 111 min). None of the patients required any conversion to conventional TAPP. No intraoperative and postoperative complications were recorded and no recurrences have been recorded to the present with a median follow-up of 6 months (range: 2 to 8 mo).
Conclusions:
Single port TAPP hernia repair is safe and feasible. Further study is needed to evaluate the benefits of this novel approach compared with the conventional laparoscopic approach.