Skip to main content
Log in

Single-port laparoscopic totally extraperitoneal inguinal hernia repair with the TriPort system: initial experience

  • New Technology
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

Since the early 1990s, the laparoscopic approach to inguinal hernia repair using three ports has gained increased popularity worldwide. Recently, single-incision laparoscopic surgery to reduce the invasiveness of traditional laparoscopy further is under development. This study aimed to assess the safety and feasibility of the single-port approach for laparoscopic totally extraperitoneal (TEP) repair of inguinal hernia and to report the authors’ initial experience using the TriPort system.

Methods

Between 18 October 2008 and 1 April 2009, 19 single-incision laparoscopic TEP repairs of inguinal hernia were performed for 16 patients at the Royal Surrey County Hospital, Guildford, United Kingdom. Data regarding patient demographics, type of hernia, operating time, complications, postoperative hospital stay, and recurrence were prospectively collected. The length of the incision at the time of the operation and at a clinic follow-up visit also was measured.

Results

All 16 patients were men, ranging in age from 21 to 87 years. Of the 16 men, 13 had a unilateral inguinal hernia. For 7 of the 13 men, the hernia was on the left side. The median operating time was 40 min for unilateral hernia and 70 min for bilateral hernia. There were no intraoperative complications and no deaths. Discharge was on the same day for 12 of the men, and within 24 h for the remaining 4 men. Minor wound complications developed for two men. One man reported transient pain in his testicle. There was no evidence of early recurrence during a median follow-up period of 72.5 days. The median incision length was 30 mm, and the median scar length at the clinic follow-up visit was 25 mm.

Conclusion

The authors’ experience has shown that single-port laparoscopic TEP inguinal hernia repair with the TriPort system is safe and feasible. Prospective randomized studies comparing single-access and conventional multiport laparoscopic TEP repairs with long-term follow-up evaluation are needed to confirm the authors’ initial experience.

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.

Similar content being viewed by others

References

  1. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR (2003) Metaanalysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 90:1479–1492

    Article  CAS  PubMed  Google Scholar 

  2. Hodgett SE, Hernandez JM, Morton CA, Ross SB, Albrink M, Rosemurgy AS (2009) Laparoendoscopic single site (LESS) cholecystectomy. J Gastrointest Surg 13:188–192

    Article  PubMed  Google Scholar 

  3. Tacchino R, Greco F, Matero D (2009) Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc 23:896–899

    Article  CAS  PubMed  Google Scholar 

  4. Langwieler TE, Nimmesgern T, Back M (2009) Single-port access in laparoscopic cholecystectomy. Surg Endosc 23:1138–1141

    Article  PubMed  Google Scholar 

  5. Romanelli JR, Mark L, Omotosho PA (2008) Single-port laparoscopic cholecystectomy with the TriPort system: a case report. Surg Innov 15:223–228

    Article  PubMed  Google Scholar 

  6. Kagaya T (2001) Laparoscopic cholecystectomy via two ports, using the “Twin-Port” system. J Hepatobiliary Pancreat Surg 8:76–80

    Article  CAS  PubMed  Google Scholar 

  7. Piskun G, Rajpal S (1999) Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A 9:361–364

    Article  CAS  PubMed  Google Scholar 

  8. Ates O, Hakguder G, Olguner M, Akgur FM (2007) Single-port laparoscopic appendicectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg 42:1071–1074

    Article  PubMed  Google Scholar 

  9. Varshney S, Sewkani A, Vyas S et al (2007) Single-port transumbilical laparoscopic-assisted appendicectomy. Indian J Gastroenterol 26:192

    PubMed  Google Scholar 

  10. Desai MM, Rao PP, Aron M et al (2008) Scarless single-port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int 101:83–88

    Article  PubMed  Google Scholar 

  11. Kaouk JH, Haber GP, Goel RK et al (2008) Single-port laparoscopic surgery in urology: initial experience. Urology 71:3–6

    Article  PubMed  Google Scholar 

  12. Rane A, Rao P, Bonadio F, Rao P (2007) Single-port laparoscopic nephrectomy using a novel laparoscopic port (R-port) and evolution of single laparoscopic port procedure (SLIPP). J Endourol 21:A287

    Google Scholar 

  13. Kaouk JH, Palmer JS (2008) Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int 102:97–99

    Article  PubMed  Google Scholar 

  14. Filipovic-Cugura J, Kirac I, Kulis T, Jankovic J, Bekavac-Beslin M (2009) Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair: first case. Surg Endosc 23:920–921

    Article  PubMed  Google Scholar 

  15. Remzi FH, Kirat HT, Kaouk JH, Geisler DP (2008) Single-port laparoscopy in colorectal surgery. Colorectal Dis 10:823–826

    Article  CAS  PubMed  Google Scholar 

  16. Agrawal S, Soon Y (2009) Single-incision laparoscopic totally extraperitoneal inguinal hernia repair: an early experience (abstract). Br J Surg (in press)

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Y. Soon.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Agrawal, S., Shaw, A. & Soon, Y. Single-port laparoscopic totally extraperitoneal inguinal hernia repair with the TriPort system: initial experience. Surg Endosc 24, 952–956 (2010). https://doi.org/10.1007/s00464-009-0663-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-009-0663-4

Keywords

Navigation