Initial experience of single port laparoscopic totally extraperitoneal hernia repair: nearly-scarless inguinal hernia repair
김지훈, 박승만, 김진조, 이윤석,
소속 상세정보
김지훈 ( Kim Ji-Hoon )
Catholic University Incheon St. Mary’s Hospital Department of Surgery
박승만 ( Park Seung-Man )
Catholic University Incheon St. Mary’s Hospital Department of Surgery
김진조 ( Kim Jin-Jo )
Catholic University Incheon St. Mary’s Hospital Department of Surgery
이윤석 ( Lee Yoon-Suk )
Catholic University Incheon St. Mary’s Hospital Department of Surgery
KMID : 0371320110810050339
Abstract
Purpose: In the early 1990’s laparoscopic hernioplasty gained popularity worldwide. Thereafter, laparoscopic surgeons have attempted to improve cosmesis using single port surgery. This study aims to introduce and assess the safety and feasibility of single port laparoscopic total extraperitoneal (TEP) hernia repair with a nearly-scarless umbilical incision.
Methods: Sixty three single port laparoscopic TEP hernia repairs were performed in sixty patients from June 2010 to March 2011 at Incheon St. Mary’s Hospital, with the use of a glove single-port device and standard laparoscopic instruments. Demographic and clinical data, intraoperative findings, and postoperative course were reviewed.
Results: Of the 63 hernias treated, 31 were right inguinal hernias, 26 were left inguinal hernias and 3 were both inguinal hernias. There was one conversion to conventional three port laparoscopic transabdominal preperitoneal hernioplasty. Mean operative time was 62 minutes (range, 32 to 150 minutes). There were no intraoperative complications. Postoperative complications occurred in two cases (wound seroma and urinary retension) and were successfully treated conservatively. Mean hospital stay was 2.15 days.
Conclusion: Single port laparoscopic TEP hernia repair is safe and feasible. Umbilical incision provides an excellent cosmetic outcome. Prospective randomized studies comparing single port and conventional three port laparoscopic TEP repairs with short-term outcome and long-term recurrence rate are needed for confirmation.
키워드
Single port; SILS; LESS; TEP; Inguinal hernia
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