PURPOSE: To evaluate the feasibility and safety of single-incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair (SILS-TEP) with previous lower abdominal surgery (PLAS). METHODS: A retrospective analysis of 350 patients undergoing SILS-TEP for a primary inguinal hernia from January 2012 to December 2015 at Osaka Police Hospital was performed, and the outcomes of the patients with and without PLAS were compared. RESULTS: SILS-TEP was performed in 84 patients with PLAS and 266 patients without PLAS. Appendectomy was the most common previous operative procedure. There were more patients with an ASA score of ≥3 in the PLAS group than in the control group (p < 0.05). The mean operative time, and the rates of conversion and postoperative complications were comparable between the two groups. There were no cases of recurrence in either group. CONCLUSIONS: SILS-TEP could be safely performed in patients with PLAS and achieved better cosmetic outcomes than conventional laparoscopic surgery.
PURPOSE: To evaluate the feasibility and safety of single-incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair (SILS-TEP) with previous lower abdominal surgery (PLAS). METHODS: A retrospective analysis of 350 patients undergoing SILS-TEP for a primary inguinal hernia from January 2012 to December 2015 at Osaka Police Hospital was performed, and the outcomes of the patients with and without PLAS were compared. RESULTS: SILS-TEP was performed in 84 patients with PLAS and 266 patients without PLAS. Appendectomy was the most common previous operative procedure. There were more patients with an ASA score of ≥3 in the PLAS group than in the control group (p < 0.05). The mean operative time, and the rates of conversion and postoperative complications were comparable between the two groups. There were no cases of recurrence in either group. CONCLUSIONS: SILS-TEP could be safely performed in patients with PLAS and achieved better cosmetic outcomes than conventional laparoscopic surgery.
Authors: R Bittner; M E Arregui; T Bisgaard; M Dudai; G S Ferzli; R J Fitzgibbons; R H Fortelny; U Klinge; F Kockerling; E Kuhry; J Kukleta; D Lomanto; M C Misra; A Montgomery; S Morales-Conde; W Reinpold; J Rosenberg; S Sauerland; C Schug-Pass; K Singh; M Timoney; D Weyhe; P Chowbey Journal: Surg Endosc Date: 2011-07-13 Impact factor: 4.584
Authors: Alberto Meyer; Pierre Blanc; Jean Gabriel Balique; Masaya Kitamura; Ramon Trullenque Juan; Franck Delacoste; Jérôme Atger Journal: Rev Col Bras Cir Date: 2013 Jan-Feb
Authors: Osama Al-Sahaf; Dhafir Al-Azawi; Muhammad Z Fauzi; Frank O Cunningham; Joseph P McGrath Journal: J Laparoendosc Adv Surg Tech A Date: 2008-06 Impact factor: 1.878