Short-term outcome of single-incision laparoscopic totally extra-peritoneal inguinal hernia repair.

Autor: Wakasugi M; Department of Surgery, Osaka Police Hospital, Osaka, Japan. wakasugi@oph.gr.jp, Akamatsu H, Tori M, Ueshima S, Omori T, Tei M, Masuzawa T, Nishida T
Jazyk: angličtina
Zdroj: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2013 May; Vol. 6 (2), pp. 143-6.
DOI: 10.1111/ases.12011
Abstrakt: We performed single-incision laparoscopic surgery for totally extra-peritoneal (SILS-TEP) repair using a lightweight mesh fixed by absorbable tacks and without balloon dilation. Thirty-four patients (mean age, 66.5 years) underwent SILS-TEP repair in our hospital between September 2011 and April 2012; 30 patients had unilateral hernia and 4 had bilateral hernias. Mean operative time was 85.6 min for unilateral hernia and 137.7 min for bilateral hernias. All patients underwent successful SILS-TEP repair. Mean hospital stay was 3.4 days. Mean duration of follow-up was 7.1 months. Four seromas were observed, but no recurrences or major complications occurred. SILS-TEP is an economical and useful method for decreasing postoperative complications, such as neuralgia and recurrence, and it could be an attractive approach for inguinal hernia.
(© 2013 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.)
Databáze: MEDLINE
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