Skip to main content
Log in

Single Port Laparoscopic Totally Extraperitoneal Hernioplasty: A Comparative Study of Short-term Outcome with Conventional Laparoscopic Totally Extraperitoneal Hernioplasty

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Background

Recently, single port laparoscopic surgery has begun to develop as an extension of minimally invasive surgery, but there have been only a few reports of single port laparoscopic totally extraperitoneal (SPLTEP) hernioplasty. In addition, there are few comparative studies with conventional laparoscopic totally extraperitoneal (CLTEP) hernioplasty. The aim of the present study was to report our experience with SPLTEP hernioplasty and to compare short-term outcomes for SPLTEP hernioplasty with CLTEP hernioplasty.

Methods

Data were prospectively collected for all patients undergoing SPLTEP hernioplasty for inguinal hernia at Incheon St. Mary’s Hospital, Incheon, Korea. Data for the SPLTEP group (n = 76 patients enrolled between June 2010 and May 2011) were compared retrospectively with data for the CLTEP group (n = 93 patients enrolled between June 2009 and May 2010).

Results

There were no significant differences in patient demographics. This study showed no significant difference in terms of operative time between the two groups (SPLTEP group 54.0 min vs. CLTEP group 47.8 min; p = 0.07). There were no conversions to conventional TEP hernioplasty or transabdominal preperitoneal hernioplasty or open surgery in SPLTEP hernioplasty. Morbidity rates were 7.9 % (n = 6) in the SPLTEP group and 10.8 % (n = 10) in the CLTEP group, and the difference was not significant.

Conclusions

Single port laparoscopic totally extraperitoneal hernioplasty is technically feasible and the short-term operative outcome is comparable to that of CLTEP hernioplasty. Future large-scale prospective controlled studies and long-term analysis are needed to establish the cosmetic outcomes, quality of life, long-term recurrence rate, and long-term complication rate of SPLTEP hernioplasty.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Reddick EJ, Olsen DO (1989) Laparoscopic laser cholecystectomy. A comparison with mini-lap cholecystectomy. Surg Endosc 3:131–133

    Article  PubMed  CAS  Google Scholar 

  2. Teoh AY, Chiu PW, Wong TC et al (2011) A case-controlled comparison of single-site access versus conventional three-port laparoscopic appendectomy. Surg Endosc 25:1415–1419

    Article  PubMed  Google Scholar 

  3. Adair J, Gromski MA, Lim RB et al (2010) Single-incision laparoscopic right colectomy: experience with 17 consecutive cases and comparison with multiport laparoscopic right colectomy. Dis Colon Rectum 53:1549–1554

    Article  PubMed  Google Scholar 

  4. Ma J, Cassera MA, Spaun GO et al (2011) Randomized controlled trial comparing single-port laparoscopic cholecystectomy and 4-port laparoscopic cholecystectomy. Ann Surg 254:22–27

    Article  PubMed  Google Scholar 

  5. Lee YS, Kim JH, Moon EJ et al (2009) Comparative study on surgical outcomes and operative costs of transumbilical single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adult patients. Surg Laparosc Endosc Percutan Tech 19:493–496

    Article  PubMed  Google Scholar 

  6. Hong TH, You YK, Lee KH (2009) Transumbilical single-port laparoscopic cholecystectomy: scarless cholecystectomy. Surg Endosc 23:1393–1397

    Article  PubMed  Google Scholar 

  7. Surgit O (2010) Single-incision laparoscopic surgery for total extraperitoneal repair of inguinal hernias in 23 patients. Surg Laparosc Endosc Percutan Tech 20:114–118

    Article  PubMed  Google Scholar 

  8. Agrawal S, Shaw A, Soon Y (2010) Single-port laparoscopic totally extraperitoneal inguinal hernia repair with the TriPort system: initial experience. Surg Endosc 24:952–956

    Article  PubMed  CAS  Google Scholar 

  9. He K, Chen H, Ding R et al (2010) Single incision laparoscopic totally extraperitoneal inguinal hernia repair. Hernia 15:451–453

    Article  PubMed  Google Scholar 

  10. Do M, Liatsikos E, Beatty J et al (2011) Laparoendoscopic single-site extraperitoneal inguinal hernia repair: initial experience in 10 patients. J Endourol 25:963–968

    Article  PubMed  Google Scholar 

  11. Tai HC, Ho CH, Tsai YC (2011) Laparoendoscopic single-site surgery: adult hernia mesh repair with homemade single port. Surg Laparosc Endosc Percutan Tech 21:42–45

    Article  PubMed  Google Scholar 

  12. Tai HC, Lin CD, Chung SD et al (2011) A comparative study of standard versus laparoendoscopic single-site surgery (LESS) totally extraperitoneal (TEP) inguinal hernia repair. Surg Endosc 25:2879–2883

    Article  PubMed  Google Scholar 

  13. Kim JH, Park SM, Kim JJ et al (2011) Initial experience of single port laparoscopic totally extraperitoneal hernia repair: nearly-scarless inguinal hernia repair. J Korean Surg Soc 81:339–343

    Article  PubMed  Google Scholar 

  14. Ferzli G, Shapiro K, Chaudry G et al (2004) Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc 18:228–231

    Article  PubMed  CAS  Google Scholar 

  15. Hoffman A, Leshem E, Zmora O et al (2010) The combined laparoscopic approach for the treatment of incarcerated inguinal hernia. Surg Endosc 24:1815–1818

    Article  PubMed  Google Scholar 

  16. Saggar VR, Sarangi R (2005) Endoscopic totally extraperitoneal repair of incarcerated inguinal hernia. Hernia 9:120–124

    Article  PubMed  CAS  Google Scholar 

  17. Paterson HM, Casey JJ, Nixon SJ (2005) Totally extraperitoneal laparoscopic hernia repair in patients with previous lower abdominal surgery. Hernia 9:228–230

    Article  PubMed  CAS  Google Scholar 

  18. Ramshaw BJ, Tucker J, Duncan T et al (1996) The effect of previous lower abdominal surgery on performing the total extraperitoneal approach to laparoscopic herniorrhaphy. Am Surg 62:292–294

    PubMed  CAS  Google Scholar 

  19. Ramshaw B, Shuler FW, Jones HB et al (2001) Laparoscopic inguinal hernia repair: lessons learned after 1,224 consecutive cases. Surg Endosc 15:50–54

    Article  PubMed  CAS  Google Scholar 

  20. Miserez M, Arregui M, Bisgaard T et al (2009) A standardized resident training program in endoscopic surgery in general and in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in particular. Surg Laparosc Endosc Percutan Tech 19:e125–e129

    Article  PubMed  Google Scholar 

  21. Choi YY, Kim Z, Hur KY (2011) Swelling after laparoscopic total extraperitoneal repair of inguinal hernias: review of one surgeon’s experience in 1,065 cases. World J Surg 35:43–46. doi:10.1007/s00268-010-0843-3

    Article  PubMed  Google Scholar 

  22. Lau H, Lee F (2003) Seroma following endoscopic extraperitoneal inguinal hernioplasty. Surg Endosc 17:1773–1777

    Article  PubMed  CAS  Google Scholar 

  23. Dulucq JL, Wintringer P, Mahajna A (2009) Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years. Surg Endosc 23:482–486

    Article  PubMed  Google Scholar 

  24. Kwon KH, Son BH, Han WK (2011) Laparoscopic totally extraperitoneal repair without suprapubic port: comparison with conventional totally extraperitoneal repair. J Korean Surg Soc 80:319–326

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yoon Suk Lee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kim, J.H., Lee, Y.S., Kim, J.J. et al. Single Port Laparoscopic Totally Extraperitoneal Hernioplasty: A Comparative Study of Short-term Outcome with Conventional Laparoscopic Totally Extraperitoneal Hernioplasty. World J Surg 37, 746–751 (2013). https://doi.org/10.1007/s00268-013-1925-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-013-1925-9

Keywords

Navigation