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Laparoendoscopic single-site surgery in inguinal hernia repair
Alfred Allen E Buenafe1, Alembert C Lee-Ong1,2
1Philippine Center for Advanced Surgery, Cardinal Santos Medical Center, San Juan, Philippines.
Asian Journal of Endoscopic Surgery
|July 14, 2017
Summary
Laparoendoscopic single-site surgery (LESS) for inguinal hernia repair (IHR) is safe and feasible, offering cosmetic benefits. While it has a learning curve and longer operative times, outcomes are comparable to conventional laparoscopic IHR.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Hernia Repair
Background:
- Laparoendoscopic single-site surgery (LESS) aims to improve cosmetic outcomes in laparoscopic inguinal hernia repair (IHR).
- LESS IHR presents unique technical challenges and a steep learning curve compared to conventional laparoscopic approaches.
Purpose of the Study:
- To evaluate the feasibility, safety, and outcomes of LESS IHR.
- To identify strategies for overcoming technical challenges in LESS IHR.
Main Methods:
- Review of current literature on LESS IHR.
- Analysis of operative time, complication rates, hospital stay, and recurrence incidence.
- Discussion of technical maneuvers to mitigate instrument clashing and improve movement.
Main Results:
- LESS IHR has a longer operative time than conventional laparoscopic IHR.
- When performed by experienced surgeons, LESS IHR demonstrates comparable complication rates, hospital stay, and recurrence rates.
- Technical challenges can be managed with specific strategies.
Conclusions:
- LESS IHR is a feasible and safe surgical option.
- Excellent cosmetic results make LESS IHR attractive to younger patients concerned about scarring.
- Robotic assistance may address technical difficulties but introduces cost considerations.
