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29.06.2016 | Original Article

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

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

Erschienen in: Surgery Today | Ausgabe 3/2017

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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.

Wakasugi M, Masuzawa T, Tei M, Omori T, Ueshima S, Tori M, et al. Single-incision totally extraperitoneal inguinal hernia repair: our initial 100 cases and comparison with conventional three-port laparoscopic totally extraperitoneal inguinal hernia repair. Surg Today. 2015;45:606–10.CrossRefPubMed

Ramshaw BJ, Tucker J, Duncan T, Heithold D, Garcha I, Mason EM, et al. The effect of previous lower abdominal surgery on performing the total extraperitoneal approach to laparoscopic herniorrhaphy. Am Surg. 1996;62:292–4.PubMed

Paterson HM, Casey JJ, Nixon SJ. Totally extraperitoneal laparoscopic hernia repair in patients with previous lower abdominal surgery. Hernia. 2005;9:228–30.CrossRefPubMed

Dulucq JL, Wintringer P, Mahajna A. Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery: is it safe? A prospective study. Surg Endosc. 2006;20:473–6.CrossRefPubMed

Al-Sahaf O, Al-Azawi D, Fauzi MZ, Cunningham FO, McGrath JP. Totally extraperitoneal laparoscopic inguinal hernia repair is a safe option in patients with previous lower abdominal surgery. J Laparoendosc Adv Surg Tech A. 2008;18:353–6.CrossRefPubMed

Chung SD, Huang CY, Chueh SC, Tsai YC, Yu HJ. Feasibility and safety of total extraperitoneal inguinal hernia repair after previous lower abdominal surgery: a case-control study. Surg Endosc. 2011;25:3353–6.CrossRefPubMed

Katayama H, Kurokawa Y, Nakamura K, Ito H, Kanemitsu Y, Masuda N, et al. Extended Clavien–Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria. Surg Today. 2016;46:668–85.CrossRefPubMed

Gotoh M, Miyata H, Hashimoto H, Wakabayashi G, Konno H, Miyakawa S, et al. National Clinical Database feedback implementation for quality improvement of cancer treatment in Japan: from good to great through transparency. Surg Today. 2016;46:38–47.CrossRefPubMed

Kanda Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant. 2013;48:452–8.CrossRefPubMed

10.

Meyer A, Blanc P, Balique JG, Kitamura M, Juan RT, Delacoste F, et al. Laparoscopic totally extraperitoneal inguinal hernia repair: twenty-seven serious complications after 4565 consecutive operations. Rev Col Bras Cir. 2013;40:32–6.CrossRefPubMed

11.

Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc. 2011;25:2773–843.CrossRefPubMedPubMedCentral

12.

Tang B, Hou S, Cuschieri SA. Ergonomics of and technologies for single-port laparoscopic surgery. Minim Invasive Ther Allied Technol. 2012;21:46–54.CrossRefPubMed

13.

Knook MT, Weidema WF, Stassen LP, van Steensel CJ. Endoscopic total extraperitoneal repair of primary and recurrent inguinal hernias. Surg Endosc. 1999;13:507–11.CrossRefPubMed

14.

Shpitz B, Lansberg L, Bugayev N, Tiomkin V, Klein E. Should peritoneal tears be routinely closed during laparoscopic total extraperitoneal repair of inguinal hernias? A reappraisal. Surg Endosc. 2004;18:1771–3.CrossRefPubMed

Titel: The feasibility and safety of single-incision totally extraperitoneal inguinal hernia repair after previous lower abdominal surgery: 350 procedures at a single center
verfasst von: Masaki Wakasugi
Yozo Suzuki
Mitsuyoshi Tei
Kana Anno
Tsubasa Mikami
Ryo Tsukada
Masahiro Koh
Kenta Furukawa
Toru Masuzawa
Kentaro Kishi
Masahiro Tanemura
Hiroki Akamatsu
Publikationsdatum: 29.06.2016
Verlag: Springer Japan
Erschienen in: Surgery Today / Ausgabe 3/2017
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-016-1376-7

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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