Abstract
Inguinal hernia remains the most commonly encountered surgical problem. Various methods of repair have been described, and the most suitable one debated. Single port access (SPA) surgery is a rapidly evolving field, and has the advantage of affording 'scarless' surgery. Single incision laparoscopic surgery (SILS) for inguinal hernia repair is seen to be feasible in both total extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) approaches. Data and peri-operative information on both of these however are limited. We aimed to review the clinical experience, feasibility and short term complications related to laparoscopic inguinal hernia repair via single port access. A literature search was performed using Google Scholar, Springerlink Library, Highwire Press, Surgical Endoscopy Journal, World Journal of Surgery and Medscape. The following search terms were used: laparoscopic hernia repair, TAPP, TEP, single incision laparoscopic surgery (SILS). Fourteen articles in English language related to SILS inguinal hernia repair were identified. Nine articles were related to TEP repair and the remaining 5 to TAPP. A total of 340 patients were reported within these studies: 294 patients having a TEP repair and 46 a TAPP. Only two cases of recurrence were reported. Various ports have been utilized, including the SILS port, Tri-Port and a custom- made port using conventional laparoscopic instruments. The duration of surgery was 40-100 minutes and the average length of hospital stay was one day. Early outcomes of this novel technique show it to be feasible, safe and with potentially better cosmetic outcome.
| Original language | English |
|---|---|
| Pages (from-to) | 425-428 |
| Number of pages | 4 |
| Journal | Clinica Terapeutica |
| Volume | 164 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2013 |
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Keywords
- Anatomy
- Hernia
- Inguinal
- Repair
- Single incision laparoscopic surgery
- Total extraperitoneal
- Trans-abdominal preperitoneal
ASJC Scopus subject areas
- Medicine(all)
Cite this
Single incision laparoscopic surgery (SILS) inguinal hernia repair - recent clinical experiences of this novel technique. / Yussra, Y.; Sutton, P. A.; Nik Mahmood, Nik Ritza Kosai; Jarmin, Razman; Mishra, R. K.; Haruna Rashid, Hanafiah; Das, Srijit.
In: Clinica Terapeutica, Vol. 164, No. 5, 2013, p. 425-428.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Single incision laparoscopic surgery (SILS) inguinal hernia repair - recent clinical experiences of this novel technique
AU - Yussra, Y.
AU - Sutton, P. A.
AU - Nik Mahmood, Nik Ritza Kosai
AU - Jarmin, Razman
AU - Mishra, R. K.
AU - Haruna Rashid, Hanafiah
AU - Das, Srijit
PY - 2013
Y1 - 2013
N2 - Inguinal hernia remains the most commonly encountered surgical problem. Various methods of repair have been described, and the most suitable one debated. Single port access (SPA) surgery is a rapidly evolving field, and has the advantage of affording 'scarless' surgery. Single incision laparoscopic surgery (SILS) for inguinal hernia repair is seen to be feasible in both total extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) approaches. Data and peri-operative information on both of these however are limited. We aimed to review the clinical experience, feasibility and short term complications related to laparoscopic inguinal hernia repair via single port access. A literature search was performed using Google Scholar, Springerlink Library, Highwire Press, Surgical Endoscopy Journal, World Journal of Surgery and Medscape. The following search terms were used: laparoscopic hernia repair, TAPP, TEP, single incision laparoscopic surgery (SILS). Fourteen articles in English language related to SILS inguinal hernia repair were identified. Nine articles were related to TEP repair and the remaining 5 to TAPP. A total of 340 patients were reported within these studies: 294 patients having a TEP repair and 46 a TAPP. Only two cases of recurrence were reported. Various ports have been utilized, including the SILS port, Tri-Port and a custom- made port using conventional laparoscopic instruments. The duration of surgery was 40-100 minutes and the average length of hospital stay was one day. Early outcomes of this novel technique show it to be feasible, safe and with potentially better cosmetic outcome.
AB - Inguinal hernia remains the most commonly encountered surgical problem. Various methods of repair have been described, and the most suitable one debated. Single port access (SPA) surgery is a rapidly evolving field, and has the advantage of affording 'scarless' surgery. Single incision laparoscopic surgery (SILS) for inguinal hernia repair is seen to be feasible in both total extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) approaches. Data and peri-operative information on both of these however are limited. We aimed to review the clinical experience, feasibility and short term complications related to laparoscopic inguinal hernia repair via single port access. A literature search was performed using Google Scholar, Springerlink Library, Highwire Press, Surgical Endoscopy Journal, World Journal of Surgery and Medscape. The following search terms were used: laparoscopic hernia repair, TAPP, TEP, single incision laparoscopic surgery (SILS). Fourteen articles in English language related to SILS inguinal hernia repair were identified. Nine articles were related to TEP repair and the remaining 5 to TAPP. A total of 340 patients were reported within these studies: 294 patients having a TEP repair and 46 a TAPP. Only two cases of recurrence were reported. Various ports have been utilized, including the SILS port, Tri-Port and a custom- made port using conventional laparoscopic instruments. The duration of surgery was 40-100 minutes and the average length of hospital stay was one day. Early outcomes of this novel technique show it to be feasible, safe and with potentially better cosmetic outcome.
KW - Anatomy
KW - Hernia
KW - Inguinal
KW - Repair
KW - Single incision laparoscopic surgery
KW - Total extraperitoneal
KW - Trans-abdominal preperitoneal
UR - http://www.scopus.com/inward/record.url?scp=84889678316&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84889678316&partnerID=8YFLogxK
U2 - 10.7417/CT.2013.1608
DO - 10.7417/CT.2013.1608
M3 - Article
VL - 164
SP - 425
EP - 428
JO - Clinica Terapeutica
JF - Clinica Terapeutica
SN - 0009-9074
IS - 5
ER -