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Transitioning to single-incision laparoscopic inguinal herniorrhaphy
1Maimonides Medical Center, Division of Minimally Invasive Surgery, 948 48th Street, Brooklyn, NY 11219, USA. DSherwinter@Maimonidesmed.org
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|February 22, 2011
Summary
Single-incision totally extraperitoneal (SITE) inguinal herniorrhaphy is a safe and effective alternative to multiport laparoscopic TEP (MLH). This approach offers cosmetic benefits without increasing operative time or complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
- Hernia Repair
Background:
- Laparoendoscopic single-site surgery (LESS) provides cosmetic advantages and reduces surgical invasiveness.
- Initial experience with LESS totally extraperitoneal (TEP) inguinal herniorrhaphy is reported.
Purpose of the Study:
- To evaluate the feasibility and outcomes of transitioning from multiport laparoscopic TEP (MLH) to single-incision TEP (SITE) for inguinal herniorrhaphy.
Main Methods:
- A transition from MLH to SITE technique was performed starting March 2009.
- The first 52 consecutive patients undergoing SITE were compared with the preceding 52 MLH repairs.
Main Results:
- No conversions to open or multiport surgery were required in the 52 SITE cases.
- Mean operative time for SITE did not significantly differ from MLH.
- Complications, including postoperative seroma and urinary retention, were equivalent between the two groups.
Conclusions:
- The transition from MLH to SITE was successfully achieved.
- SITE inguinal herniorrhaphy can be performed without significantly altering operative time or morbidity.