Transitioning to single-incision laparoscopic inguinal herniorrhaphy

Laparoendoscopic single-site surgery (LESS) offers cosmetic benefits and may represent further progress towards reducing the invasiveness of surgical interventions. We report our initial experience with LESS totally extraperitoneal (TEP) inguinal herniorrhaphy. Beginning March 2009, we transitioned...

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Bibliographic Details
Published in:Journal of the Society of Laparoendoscopic Surgeons 2010-07, Vol.14 (3), p.353-357
Main Author: Sherwinter, Danny A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Female
Follow-Up Studies
Hernia, Inguinal - surgery
Humans
Laparoscopy - methods
Male
Middle Aged
Retrospective Studies
Scientific Papers
Treatment Outcome
Young Adult
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Summary:Laparoendoscopic single-site surgery (LESS) offers cosmetic benefits and may represent further progress towards reducing the invasiveness of surgical interventions. We report our initial experience with LESS totally extraperitoneal (TEP) inguinal herniorrhaphy. Beginning March 2009, we transitioned from a multiport laparoscopic TEP (MLH) technique to a single-incision TEP (SITE) technique. The first 52 consecutive patients who underwent SITE at our institution were compared with the preceding 52 MLH repairs. Of the first 52 patients undergoing SITE, there were no conversions to either open or multiport surgery. The mean operative time for the SITE cases did not differ significantly from that of MLH. Complications were equivalent between the 2 groups and included postoperative seroma and urinary retention. Transitioning from MLH to SITE was readily accomplished without significantly altering operative time or morbidity.
ISSN:1086-8089
1938-3797
DOI:10.4293/108680810X12924466007485