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Related Experiment Videos

First 200 consecutive transumbilical single-incision laparoscopic TEPs.

G Dapri1,2, L Gerard3, M Paesmans4

  • 1Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Université Libre de Bruxelles, 322, Rue Haute, Brussels, Belgium. giovanni@dapri.net.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|December 25, 2016
PubMed
Summary

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This summary is machine-generated.

Single-incision laparoscopic endoscopic pre-peritoneal mesh repair (SILTEP) allows large mesh placement via a small umbilical scar. This technique demonstrated good outcomes with minimal complications in the first 200 cases.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Endoscopic pre-peritoneal mesh repair (TEP) using single-incision laparoscopy (SIL) facilitates large mesh insertion through a small umbilical scar.
  • This prospective study details the initial 200 consecutive SILTEP procedures performed by a single surgeon.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of single-incision laparoscopic endoscopic pre-peritoneal mesh repair (SILTEP).
  • To assess the safety and efficacy of this minimally invasive technique for hernia repair.

Main Methods:

  • Prospective evaluation of 200 consecutive SILTEPs in 161 patients between November 2011 and September 2015.
  • Utilized an 11-mm trocar, a 10-mm 0° scope, and curved reusable instruments, with optional 1.8-mm trocarless forceps.
Keywords:
Inguinal herniaLaparoscopySingle incisionSingle portTEP

Related Experiment Videos

  • Procedures included unilateral (122 patients) and bilateral (39 patients) hernia repairs.

    • Main Results:

    • Mean operative time was 57.4 minutes; mean laparoscopic time was 46.6 minutes.
    • The 1.8-mm trocarless grasper was needed in 32.9% of cases; no supplementary 5-mm trocar was required.
    • Mean scar length was 15.3 mm, mean hospital stay was 1 day.
    • Low complication rates: 15 at the access site, 31 at the hernia site.
    • After a mean follow-up of 25.4 months, one asymptomatic incisional hernia and one reoperation for recurrent hernia were noted.

    Conclusions:

    • Transumbilical SILTEP enables large mesh placement through a small scar.
    • Overcoming the learning curve for conventional TEP is essential.
    • Contraindications include giant inguino-scrotal, incarcerated, and recurrent inguinal hernias.