Comparison between single-incision and multiple-incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair

Kuang Shun Chueh, Hsiang Ying Lee, Hsin Chih Yeh, Chia Chun Tsai, Yii Her Chou, Chun Nung Huang, Wen Jeng Wu, Ching Chia Li

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: We compared the clinical outcomes of single-incision laparoscopic surgery (SILS) and multiple-incision laparoscopic surgery for totally extraperitoneal (TEP) inguinal hernia repair. Material and methods: This retrospective study included 134 consecutive patients undergoing single-incision or multiple-incision laparoscopic surgery for inguinal hernia between January 2012 and December 2016 at our hospital. Results: In total, 62 patients undergoing SILS-TEP and 72 receiving multiple-incision laparoscopic surgery were included in this study. No significant differences in patients’ characteristics between the two groups were noted. No patient required conversion to open surgery in either group. No significant differences were noted between the two groups in operative time, bleeding volume, post-operative hospital stay, and analgesics used. Postoperative complications were observed in 5.7% (4 of 62) of patients in the SILS group and 3.2% (2 of 72) of patients in the control group. Among the few patients who experienced complications, most had hematomas. No major complications or hernia recurrences were observed during the follow-up period in either group. Conclusions: SILS-TEP produced good cosmetic outcomes for patients regardless of previous surgery, and it could be safely performed with acceptable morbidity. It also does not increase the possibility of conversion to open surgery.

Original languageEnglish (US)
Pages (from-to)293-298
Number of pages6
JournalMinimally Invasive Therapy and Allied Technologies
Volume29
Issue number5
DOIs
StatePublished - Oct 1 2020
Externally publishedYes

Keywords

  • Less
  • SILS
  • minimally invasive surgery

ASJC Scopus subject areas

  • Surgery

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