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The feasibility and safety of single-incision totally extraperitoneal inguinal hernia repair after previous lower abdominal surgery: 350 procedures at a single center

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Abstract

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.

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Authors and Affiliations

  1. Department of Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennouji-ku, Osaka, 543-0035, Japan

    Masaki Wakasugi, Yozo Suzuki, Mitsuyoshi Tei, Kana Anno, Tsubasa Mikami, Ryo Tsukada, Masahiro Koh, Kenta Furukawa, Toru Masuzawa, Kentaro Kishi, Masahiro Tanemura & Hiroki Akamatsu

Authors
  1. Masaki Wakasugi
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  2. Yozo Suzuki
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  3. Mitsuyoshi Tei
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  4. Kana Anno
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  5. Tsubasa Mikami
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  6. Ryo Tsukada
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  7. Masahiro Koh
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  8. Kenta Furukawa
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  9. Toru Masuzawa
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  10. Kentaro Kishi
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  11. Masahiro Tanemura
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  12. Hiroki Akamatsu
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Corresponding author

Correspondence to Masaki Wakasugi.

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Conflict of interest

The authors declare no conflicts of interest in association with the present study.

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Wakasugi, M., Suzuki, Y., Tei, M. et al. The feasibility and safety of single-incision totally extraperitoneal inguinal hernia repair after previous lower abdominal surgery: 350 procedures at a single center. Surg Today 47, 307–312 (2017). https://doi.org/10.1007/s00595-016-1376-7

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  • DOI: https://doi.org/10.1007/s00595-016-1376-7

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