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Comparison between single-incision and multiple-incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair.

Authors
  • Chueh, Kuang-Shun1, 2
  • Lee, Hsiang Ying1, 2
  • Yeh, Hsin-Chih1, 2, 3, 4
  • Tsai, Chia-Chun1, 2
  • Chou, Yii-Her2, 3, 4
  • Huang, Chun-Nung2, 3, 4
  • Wu, Wen-Jeng1, 2, 3, 4
  • Li, Ching-Chia1, 2, 3, 4
  • 1 Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan. , (Taiwan)
  • 2 Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. , (Taiwan)
  • 3 Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. , (Taiwan)
  • 4 Department of Urology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. , (Taiwan)
Type
Published Article
Journal
Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy
Publication Date
Oct 01, 2020
Volume
29
Issue
5
Pages
293–298
Identifiers
DOI: 10.1080/13645706.2019.1637895
PMID: 31280617
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Introduction: We compared the clinical outcomes of single-incision laparoscopic surgery (SILS) and multiple-incision laparoscopic surgery for totally extraperitoneal (TEP) inguinal hernia repair.Material and methods: This retrospective study included 134 consecutive patients undergoing single-incision or multiple-incision laparoscopic surgery for inguinal hernia between January 2012 and December 2016 at our hospital.Results: In total, 62 patients undergoing SILS-TEP and 72 receiving multiple-incision laparoscopic surgery were included in this study. No significant differences in patients' characteristics between the two groups were noted. No patient required conversion to open surgery in either group. No significant differences were noted between the two groups in operative time, bleeding volume, post-operative hospital stay, and analgesics used. Postoperative complications were observed in 5.7% (4 of 62) of patients in the SILS group and 3.2% (2 of 72) of patients in the control group. Among the few patients who experienced complications, most had hematomas. No major complications or hernia recurrences were observed during the follow-up period in either group.Conclusions: SILS-TEP produced good cosmetic outcomes for patients regardless of previous surgery, and it could be safely performed with acceptable morbidity. It also does not increase the possibility of conversion to open surgery.

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