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Single-incision laparoscopic TAPP mesh hernioplasty using conventional instruments: an evolving technique

  • New Surgical Horizons
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Abstract

Objective

The aim of this pilot study is to assess the safety, feasibility, and short-term outcomes of single-incision laparoscopic trans-abdominal preperitoneal (TAPP) mesh hernioplasty using conventional laparoscopic instruments.

Methods

During a 3-month study period, data from all consecutive patients referred for inguinal hernia repair to the general and minimally invasive surgery unit of our institution who agreed to undergo single-incision TAPP mesh hernioplasty were included in the prospective study. Outcome measures included completion rate of the attempted procedure, operative time, length of hospital stay, postoperative pain, and assessment of complications. Follow-up was done for 3 months.

Result

Fifteen patients completed our protocol. Two patients had bilateral inguinal hernias while all other patients had unilateral hernia. Two patients had sliding hernia on the left side which had sigmoid colon as content. None of the patients required any additional port. There were no intraoperative complications.

Conclusions

The concept of laparoscopic single-incision surgery is an attractive and understandable innovation as laparoscopic surgery has become more commonplace. Based on our experience, we believe that the procedure is feasible without additional risk. Cosmetic benefit is clear; however, beyond the actual outcome with respect to postoperative pain and long-term complications, needs to be evaluated and compared to standard laparoscopic TAPP mesh hernioplasty.

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Author notes

  1. Prabal Roy & Anushtup De

    Present address: Department of General and Minimally Invasive Surgery, Asian Institute of Medical Sciences, Faridabad, India

Authors and Affiliations

  1. Department of General and Minimally Invasive Surgery, Fortis Escorts Hospital and Research Centre, Faridabad, India

    Prabal Roy & Anushtup De

  2. House No 334, Sector 16 A, Faridabad, 121001, Haryana, India

    Anushtup De

Authors
  1. Prabal Roy
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  2. Anushtup De
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Corresponding author

Correspondence to Anushtup De.

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Roy, P., De, A. Single-incision laparoscopic TAPP mesh hernioplasty using conventional instruments: an evolving technique. Langenbecks Arch Surg 395, 1157–1160 (2010). https://doi.org/10.1007/s00423-010-0656-8

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  • DOI: https://doi.org/10.1007/s00423-010-0656-8

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