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Erschienen in: European Surgery 3/2014

01.06.2014 | Review

A systematic review of hernia surgery in SIL (single-incision laparoscopy) technique

verfasst von: Dr. A. H. Petter-Puchner, W. Brunner, S. Gruber-Blum, K. S. Glaser, R. H. Fortelny

Erschienen in: European Surgery | Ausgabe 3/2014

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Summary

Background

Hernia repair in single-incision laparoscopic surgery (SIL) technique has become increasingly common at specialized centers. Still, safety issues and potential benefits of SIL hernia repair have to be elucidated. This review summarizes available literature and provides an overview of current developments.

Materials and methods

A literature search was performed in PubMed, the Cochrane Database, and Google for peer-reviewed publications on SIL hernia repair. Main outcome parameters were defined, and it was attempted to define clinical recommendations.

Results

SIL technique can be applied for inguinal, ventral, and hiatal hernia repair. Operation times and early results seem to be comparable with standard multiport laparoscopy.

Conclusion

Distinct advantages of SIL hernia surgery have yet to be demonstrated, as the level of evidence in this field is low. Randomized controlled trials investigating the incidence of incisional hernias at the trocar site and safety in large cohorts are missing.
Literatur
1.
Zurück zum Zitat Roy P, De A. Single incision laparoscopic TAPP mesh hernioplasty using conventional instruments: an evolving technique. Langenbecks Arch Surg. 2010;395:1157–60.PubMedCrossRef Roy P, De A. Single incision laparoscopic TAPP mesh hernioplasty using conventional instruments: an evolving technique. Langenbecks Arch Surg. 2010;395:1157–60.PubMedCrossRef
2.
Zurück zum Zitat Chung SD, Huang CY, Wang SM, Hung SF, Tsai YC, Chueh SC, Yu HJ. Laparoendoscopic single-site totally extraperitoneal adult inguinal hernia repair: initial 100 patients. Surg Endosc. 2011;25:3579–83.PubMedCrossRef Chung SD, Huang CY, Wang SM, Hung SF, Tsai YC, Chueh SC, Yu HJ. Laparoendoscopic single-site totally extraperitoneal adult inguinal hernia repair: initial 100 patients. Surg Endosc. 2011;25:3579–83.PubMedCrossRef
3.
Zurück zum Zitat Santos BF, Hungness ES. Natural orifice translumenal endoscopic surgery: progress in humans since white paper. World J Gastroenterol. 2011;17:1655–65.PubMedCentralPubMedCrossRef Santos BF, Hungness ES. Natural orifice translumenal endoscopic surgery: progress in humans since white paper. World J Gastroenterol. 2011;17:1655–65.PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Barbaros U, Demirel T, Sumer A, Deveci U, Tukenmez M, Cansunar MI, Kalayci M, Dinccag A, Seven R, Mercan S. SILS incisional hernia repair: is it feasible in giant hernias? A report of three cases. Diagn Ther Endosc. 2011;2011:387040.PubMedCentralPubMedCrossRef Barbaros U, Demirel T, Sumer A, Deveci U, Tukenmez M, Cansunar MI, Kalayci M, Dinccag A, Seven R, Mercan S. SILS incisional hernia repair: is it feasible in giant hernias? A report of three cases. Diagn Ther Endosc. 2011;2011:387040.PubMedCentralPubMedCrossRef
5.
Zurück zum Zitat Surgit O. Single-incision laparoscopic surgery for total extraperitoneal repair of inguinal hernias in 23 patients. Surg Laparosc Endosc Percutan Tech. 2010;20:114–8.PubMedCrossRef Surgit O. Single-incision laparoscopic surgery for total extraperitoneal repair of inguinal hernias in 23 patients. Surg Laparosc Endosc Percutan Tech. 2010;20:114–8.PubMedCrossRef
6.
Zurück zum Zitat Brunner W, Schirnhofer N, Waldstein-Wartenberg N, Frass R, Pimpl K, Weiss H. New: Single-incision transumbilical laparoscopic surgery. Eur Surg. 2009;41:98–103.CrossRef Brunner W, Schirnhofer N, Waldstein-Wartenberg N, Frass R, Pimpl K, Weiss H. New: Single-incision transumbilical laparoscopic surgery. Eur Surg. 2009;41:98–103.CrossRef
7.
Zurück zum Zitat Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev. 2011;(3):CD007781. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev. 2011;(3):CD007781.
8.
Zurück zum Zitat Fortelny RH, Petter-Puchner AH, Glaser KS, Redl H. Use of fibrin sealant (Tisseel/Tissucol) in hernia repair: a systematic review. Surg Endosc. 2012;26:1803–12.PubMedCrossRef Fortelny RH, Petter-Puchner AH, Glaser KS, Redl H. Use of fibrin sealant (Tisseel/Tissucol) in hernia repair: a systematic review. Surg Endosc. 2012;26:1803–12.PubMedCrossRef
9.
Zurück zum Zitat Baccari P, Nifosi J, Ghirardelli L, Staudacher C. Short- and mid-term outcome after laparoscopic repair of large incisional hernia. Hernia. 2013;17(5):567–72.PubMedCrossRef Baccari P, Nifosi J, Ghirardelli L, Staudacher C. Short- and mid-term outcome after laparoscopic repair of large incisional hernia. Hernia. 2013;17(5):567–72.PubMedCrossRef
10.
Zurück zum Zitat Fuentes MB, Goel R, Lee-Ong AC, Cabrera EB, Lawenko M, Lopez-Gutierrez J, Lomanto D. Single-port endo-laparoscopic surgery (SPES) for totally extraperitoneal inguinal hernia: a critical appraisal of the chopstick repair. Hernia. 2013;17(2):217–21.PubMedCrossRef Fuentes MB, Goel R, Lee-Ong AC, Cabrera EB, Lawenko M, Lopez-Gutierrez J, Lomanto D. Single-port endo-laparoscopic surgery (SPES) for totally extraperitoneal inguinal hernia: a critical appraisal of the chopstick repair. Hernia. 2013;17(2):217–21.PubMedCrossRef
12.
Zurück zum Zitat Kucuk C. Single-incision laparoscopic transabdominal preperitoneal herniorrhaphy for recurrent inguinal hernias: preliminary surgical results. Surg Endosc. 2011;25:3228–34.PubMedCrossRef Kucuk C. Single-incision laparoscopic transabdominal preperitoneal herniorrhaphy for recurrent inguinal hernias: preliminary surgical results. Surg Endosc. 2011;25:3228–34.PubMedCrossRef
13.
Zurück zum Zitat He K, Chen H, Ding R, Hua R, Yao Q. Single incision laparoscopic totally extraperitoneal inguinal hernia repair. Hernia. 2011;15:451–3.PubMedCrossRef He K, Chen H, Ding R, Hua R, Yao Q. Single incision laparoscopic totally extraperitoneal inguinal hernia repair. Hernia. 2011;15:451–3.PubMedCrossRef
14.
Zurück zum Zitat Cugura JF, Kirac I, Kulis T, Jankovic J, Beslin MB. First case of single incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair. Acta Clin Croat. 2008;47:249–52.PubMed Cugura JF, Kirac I, Kulis T, Jankovic J, Beslin MB. First case of single incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair. Acta Clin Croat. 2008;47:249–52.PubMed
15.
Zurück zum Zitat Filipovic-Cugura J, Kirac I, Kulis T, Jankovic J, Bekavac-Beslin M. Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair: first case. Surg Endosc. 2009;23:920–1.PubMedCrossRef Filipovic-Cugura J, Kirac I, Kulis T, Jankovic J, Bekavac-Beslin M. Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair: first case. Surg Endosc. 2009;23:920–1.PubMedCrossRef
16.
Zurück zum Zitat Lopez-Cano M, Pereira JA, Mojal S, Lozoya R, Quiles MT, Arbos MA, Armengol-Carrasco M. An ergonomic study of single-port versus multi-port laparoscopic mesh insertion for ventral hernia repair. Eur Surg Res. 2012;49:107–12.PubMedCrossRef Lopez-Cano M, Pereira JA, Mojal S, Lozoya R, Quiles MT, Arbos MA, Armengol-Carrasco M. An ergonomic study of single-port versus multi-port laparoscopic mesh insertion for ventral hernia repair. Eur Surg Res. 2012;49:107–12.PubMedCrossRef
17.
Zurück zum Zitat Kim JH, Lee YS, Kim JJ, Park SM. Single port laparoscopic totally extraperitoneal hernioplasty: a comparative study of short-term outcome with conventional laparoscopic totally extraperitoneal hernioplasty. World J Surg. 2013;37:746–51.PubMedCrossRef Kim JH, Lee YS, Kim JJ, Park SM. Single port laparoscopic totally extraperitoneal hernioplasty: a comparative study of short-term outcome with conventional laparoscopic totally extraperitoneal hernioplasty. World J Surg. 2013;37:746–51.PubMedCrossRef
18.
Zurück zum Zitat Tai HC, Lin CD, Chung SD, Chueh SC, Tsai YC, Yang SS. A comparative study of standard versus laparoendoscopic single-site surgery (LESS) totally extraperitoneal (TEP) inguinal hernia repair. Surg Endosc. 2011;25:2879–83.PubMedCrossRef Tai HC, Lin CD, Chung SD, Chueh SC, Tsai YC, Yang SS. A comparative study of standard versus laparoendoscopic single-site surgery (LESS) totally extraperitoneal (TEP) inguinal hernia repair. Surg Endosc. 2011;25:2879–83.PubMedCrossRef
19.
Zurück zum Zitat Pucher PH, Sodergren MH, Singh P, Darzi A, Parakseva P. Have we learned from lessons of the past? A systematic review of training for single incision laparoscopic surgery. Surg Endosc. 2013;27:1478–84.PubMedCrossRef Pucher PH, Sodergren MH, Singh P, Darzi A, Parakseva P. Have we learned from lessons of the past? A systematic review of training for single incision laparoscopic surgery. Surg Endosc. 2013;27:1478–84.PubMedCrossRef
20.
Zurück zum Zitat Klaus A, Muhlmann GM, Laimer E. Single-incision laparoscopic surgery: hernia repair. Asian J Endosc Surg. 2011;4:59–62.PubMedCrossRef Klaus A, Muhlmann GM, Laimer E. Single-incision laparoscopic surgery: hernia repair. Asian J Endosc Surg. 2011;4:59–62.PubMedCrossRef
21.
Zurück zum Zitat Rattner D, Kalloo A. ASGE/SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery. October 2005. Surg Endosc. 2006;20:329–33.PubMedCrossRef Rattner D, Kalloo A. ASGE/SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery. October 2005. Surg Endosc. 2006;20:329–33.PubMedCrossRef
22.
Zurück zum Zitat Fung AK, Aly EH. Systematic review of single-incision laparoscopic colonic surgery. Br J Surg. 2012;99: 1353–64.PubMedCrossRef Fung AK, Aly EH. Systematic review of single-incision laparoscopic colonic surgery. Br J Surg. 2012;99: 1353–64.PubMedCrossRef
23.
Zurück zum Zitat Sanchez Lopez JD, Garijo AJ, Garcia-Sancho TL, Sanchez-Cabezudo NF, Torres JJ. Single incision laparoscopic surgery (SILS) for incarcerated incisional hernia: a new approach. Cir Esp. 2010;88:199–200.PubMedCrossRef Sanchez Lopez JD, Garijo AJ, Garcia-Sancho TL, Sanchez-Cabezudo NF, Torres JJ. Single incision laparoscopic surgery (SILS) for incarcerated incisional hernia: a new approach. Cir Esp. 2010;88:199–200.PubMedCrossRef
24.
Zurück zum Zitat Lee DY, Rehmani SS, Guend H, Park K, Ross RE, Alkhalifa M, McGinty JJ, Teixeira JA. The incidence of trocar-site hernia in minimally invasive bariatric surgery: a comparison of multi versus single-port laparoscopy. Surg Endosc. 2013;27(4):1287–91.PubMedCrossRef Lee DY, Rehmani SS, Guend H, Park K, Ross RE, Alkhalifa M, McGinty JJ, Teixeira JA. The incidence of trocar-site hernia in minimally invasive bariatric surgery: a comparison of multi versus single-port laparoscopy. Surg Endosc. 2013;27(4):1287–91.PubMedCrossRef
25.
Zurück zum Zitat Barbaros U, Demirel T, Sumer A, Deveci U, Tukenmez M, Cansunar MI, Kalayci M, Dinccag A, Seven R, Mercan S. Pure SILS floppy Nissen fundoplication with hiatal repair: a case report. ISRN Gastroenterol. 2011;2011:347487.PubMedCentralPubMedCrossRef Barbaros U, Demirel T, Sumer A, Deveci U, Tukenmez M, Cansunar MI, Kalayci M, Dinccag A, Seven R, Mercan S. Pure SILS floppy Nissen fundoplication with hiatal repair: a case report. ISRN Gastroenterol. 2011;2011:347487.PubMedCentralPubMedCrossRef
26.
Zurück zum Zitat Rahman SH, John BJ. Single-incision laparoscopic trans-abdominal pre-peritoneal mesh hernia repair: a feasible approach. Hernia. 2010;14:329–31.PubMedCrossRef Rahman SH, John BJ. Single-incision laparoscopic trans-abdominal pre-peritoneal mesh hernia repair: a feasible approach. Hernia. 2010;14:329–31.PubMedCrossRef
27.
Zurück zum Zitat Sato H, Shimada M, Kurita N, Iwata T, Nishioka M, Morimoto S, Yoshikawa K, Miyatani T, Goto M, Kashihara H, Takasu C. The safety and usefulness of the single incision, transabdominal pre-peritoneal (TAPP) laparoscopic technique for inguinal hernia. J Med Invest. 2012;59:235–40.PubMedCrossRef Sato H, Shimada M, Kurita N, Iwata T, Nishioka M, Morimoto S, Yoshikawa K, Miyatani T, Goto M, Kashihara H, Takasu C. The safety and usefulness of the single incision, transabdominal pre-peritoneal (TAPP) laparoscopic technique for inguinal hernia. J Med Invest. 2012;59:235–40.PubMedCrossRef
28.
Zurück zum Zitat Misawa T, Ito R, Futagawa Y, Fujiwara Y, Kitamura H, Tsutsui N, Shiba H, Wakiyama S, Ishida Y, Yanaga K. Single-incision laparoscopic distal pancreatectomy with or without splenic preservation: how we do it. Asian J Endosc Surg. 2012;5:195–9.PubMedCrossRef Misawa T, Ito R, Futagawa Y, Fujiwara Y, Kitamura H, Tsutsui N, Shiba H, Wakiyama S, Ishida Y, Yanaga K. Single-incision laparoscopic distal pancreatectomy with or without splenic preservation: how we do it. Asian J Endosc Surg. 2012;5:195–9.PubMedCrossRef
29.
Zurück zum Zitat Jorgensen LN, Sommer T, Assaadzadeh S, Strand L, Dorfelt A, Hensler M, Rosenberg J. Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg. 2013;100(4):474–81.PubMedCrossRef Jorgensen LN, Sommer T, Assaadzadeh S, Strand L, Dorfelt A, Hensler M, Rosenberg J. Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg. 2013;100(4):474–81.PubMedCrossRef
30.
Zurück zum Zitat Kapischke M, Schulz T, Schipper T, Tensfeldt J, Caliebe A. Open versus laparoscopic incisional hernia repair: something different from a meta-analysis. Surg Endosc. 2008;22:2251–60.PubMedCrossRef Kapischke M, Schulz T, Schipper T, Tensfeldt J, Caliebe A. Open versus laparoscopic incisional hernia repair: something different from a meta-analysis. Surg Endosc. 2008;22:2251–60.PubMedCrossRef
31.
Zurück zum Zitat Alptekin H, Yilmaz H, Acar F, Kafali ME, Sahin M. Incisional hernia rate may increase after single-port cholecystectomy. J Laparoendosc Adv Surg Tech A. 2012;22:731–7.PubMedCrossRef Alptekin H, Yilmaz H, Acar F, Kafali ME, Sahin M. Incisional hernia rate may increase after single-port cholecystectomy. J Laparoendosc Adv Surg Tech A. 2012;22:731–7.PubMedCrossRef
32.
Zurück zum Zitat Weiss HG, Brunner W, Biebl MO, Schirnhofer J, Pimpl K, Mittermair C, Obrist C, Brunner E, Hell T. Wound complications in 1145 consecutive transumbilical single-incision laparoscopic procedures. Ann Surg. 2014;259:89–95.PubMedCrossRef Weiss HG, Brunner W, Biebl MO, Schirnhofer J, Pimpl K, Mittermair C, Obrist C, Brunner E, Hell T. Wound complications in 1145 consecutive transumbilical single-incision laparoscopic procedures. Ann Surg. 2014;259:89–95.PubMedCrossRef
33.
Zurück zum Zitat Alptekin H, Yilmaz H, Acar F, Kafali ME, Sahin M. Incisonal hernia rate may increase after single port cholecystectomy. J Laparoendosc Adv Surg Tech A. 2012;22:731–7.PubMedCrossRef Alptekin H, Yilmaz H, Acar F, Kafali ME, Sahin M. Incisonal hernia rate may increase after single port cholecystectomy. J Laparoendosc Adv Surg Tech A. 2012;22:731–7.PubMedCrossRef
34.
Zurück zum Zitat Wagner MJ, Kern H, Hapfelmeier A, Mehler J, Schoenberg MH. Single port vs. multi port cholecystectomy-a prospective cohort study with 222 patients. World J Surg. 2013;37:991–8.PubMedCrossRef Wagner MJ, Kern H, Hapfelmeier A, Mehler J, Schoenberg MH. Single port vs. multi port cholecystectomy-a prospective cohort study with 222 patients. World J Surg. 2013;37:991–8.PubMedCrossRef
Metadaten
Titel
A systematic review of hernia surgery in SIL (single-incision laparoscopy) technique
verfasst von
Dr. A. H. Petter-Puchner
W. Brunner
S. Gruber-Blum
K. S. Glaser
R. H. Fortelny
Publikationsdatum
01.06.2014
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 3/2014
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-014-0258-8

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