Single-incision laparoscopic transabdominal preperitoneal herniorrhaphy for bilateral inguinal hernias using...

Area of Science:

• Minimally invasive surgery
• Surgical innovation
• Abdominal wall reconstruction

Background:

• Inguinal hernia repair is a prevalent global surgical procedure.
• Advancements in surgical technology enable reduced incisions in laparoscopic surgery.
• Minimally invasive techniques aim to improve patient outcomes and reduce surgical trauma.

Purpose of the Study:

• To evaluate the safety and feasibility of single-incision laparoscopic surgery (SILS) for transabdominal preperitoneal mesh hernioplasty (TAPP).
• To assess the efficacy of SILS TAPP in treating bilateral inguinal hernias.
• To explore modifications in laparoscopic surgery for reduced invasiveness.

Main Methods:

• Retrospective evaluation of ten patients with bilateral inguinal hernias who underwent SILS TAPP.
• Data collection included patient demographics, hernia type, operative time, complications, and hospitalization.
• SILS TAPP was performed using conventional instruments through a single umbilical port, adapting standard 3-port TAPP techniques.

Main Results:

• All ten patients had bilateral inguinal hernias and were male, with a mean age of 45 years.
• The mean operative time was 63 minutes, with successful completion in all cases without conversion or additional trocars.
• No early recurrence was observed during a mean follow-up of 67 days.

Conclusions:

• Single-incision laparoscopic surgery (SILS) transabdominal preperitoneal mesh hernioplasty (TAPP) is a feasible and seemingly safe option for bilateral inguinal hernias.
• Further follow-up and analysis are necessary to confirm long-term clinical outcomes and recurrence rates.
• SILS TAPP represents a potential advancement in minimally invasive hernia repair.