S Wijerathne1,2,3,4, L Wai5, J Lee5, C Loh5, S Malik5, D Lomanto5,6,7. 1. Department of General Surgery, National University Health System, Singapore, Singapore. sujithwijerathne@gmail.com. 2. General Surgery Service, Alexandra Hospital, National University Health System, Singapore, Singapore. sujithwijerathne@gmail.com. 3. Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. sujithwijerathne@gmail.com. 4. Minimally Invasive Surgical Centre, Department of Surgery, National University Hospital, National University, Health System (NUHS), Level 8, NUHS Tower Block, 1E Kent Ridge Road, Singapore, 119228, Singapore. sujithwijerathne@gmail.com. 5. Department of General Surgery, National University Health System, Singapore, Singapore. 6. General Surgery Service, Alexandra Hospital, National University Health System, Singapore, Singapore. 7. Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Abstract
PURPOSE: To describe the feasibility of modified-TEP technique in reducing dead space in large inguinoscrotal and large femoral hernia to prevent seroma, reduce recurrence and complications. METHODS: This is a case series of patients who have completed a minimum of 9 months follow-up after undergoing elective endo-laparoscopic inguinal hernia repair with modified-TEP technique for large inguinoscrotal and large femoral hernia in a single institution from June to October 2020. RESULTS: 14 large inguinoscrotal hernia and 4 large femoral hernia were repaired using the modified-TEP technique in 15 patients. These patients reported minimal pain after surgery. There were no reported seroma, complications or recurrences up to 9 months follow-up period. CONCLUSION: Modified-TEP technique for large inguinoscrotal and large femoral hernia has shown good outcomes and patients reported minimum levels of pain. In experienced hands, it is safe, feasible and effective in reducing seroma formation and hernia recurrence.
PURPOSE: To describe the feasibility of modified-TEP technique in reducing dead space in large inguinoscrotal and large femoral hernia to prevent seroma, reduce recurrence and complications. METHODS: This is a case series of patients who have completed a minimum of 9 months follow-up after undergoing elective endo-laparoscopic inguinal hernia repair with modified-TEP technique for large inguinoscrotal and large femoral hernia in a single institution from June to October 2020. RESULTS: 14 large inguinoscrotal hernia and 4 large femoral hernia were repaired using the modified-TEP technique in 15 patients. These patients reported minimal pain after surgery. There were no reported seroma, complications or recurrences up to 9 months follow-up period. CONCLUSION: Modified-TEP technique for large inguinoscrotal and large femoral hernia has shown good outcomes and patients reported minimum levels of pain. In experienced hands, it is safe, feasible and effective in reducing seroma formation and hernia recurrence.