Cargando…

Laparoendoscopic Single-Site Inguinal Herniorrhaphy: Experience of a Single Institute

Background: Minimally invasive techniques for inguinal herniorrhaphy have focused on developing the laparoendoscopic single-site (LESS) procedure to improve cosmesis. Outcomes of total extraperitoneal (TEP) herniorrhaphy vary considerably because of being performed by different surgeons. We aimed to...

Descripción completa

Detalles Bibliográficos
Autores principales: Tee, Wei-Quen, Wu, Yen-Ting, Wang, Hung-Jen, Chuang, Yao-Chi, Lee, Wei-Chia, Tsai, Chia-Hung, Lee, Long-Yuan, Chen, Chien-Hsu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10003067/
https://www.ncbi.nlm.nih.gov/pubmed/36902571
http://dx.doi.org/10.3390/jcm12051786
_version_ 1784904522065248256
author Tee, Wei-Quen
Wu, Yen-Ting
Wang, Hung-Jen
Chuang, Yao-Chi
Lee, Wei-Chia
Tsai, Chia-Hung
Lee, Long-Yuan
Chen, Chien-Hsu
author_facet Tee, Wei-Quen
Wu, Yen-Ting
Wang, Hung-Jen
Chuang, Yao-Chi
Lee, Wei-Chia
Tsai, Chia-Hung
Lee, Long-Yuan
Chen, Chien-Hsu
author_sort Tee, Wei-Quen
collection PubMed
description Background: Minimally invasive techniques for inguinal herniorrhaphy have focused on developing the laparoendoscopic single-site (LESS) procedure to improve cosmesis. Outcomes of total extraperitoneal (TEP) herniorrhaphy vary considerably because of being performed by different surgeons. We aimed to evaluate the perioperative characteristics and outcomes of patients undergoing the LESS-TEP approach for inguinal herniorrhaphy and to determine its overall safety and effectiveness. Methods: Data of 233 patients who underwent 288 laparoendoscopic single-site total extraperitoneal approach (LESS-TEP) herniorrhaphies at Kaohsiung Chang Gung Memorial Hospital between January 2014 and July 2021 were reviewed retrospectively. We reviewed the experiences and results of LESS-TEP herniorrhaphy performed by a single surgeon (CHC) using homemade glove access and standard laparoscopic instruments with a 50 cm long 30° telescope. Results: Among 233 patients, 178 patients had unilateral hernias and 55 patients had bilateral hernias. About 32% (n = 57) of patients in the unilateral group and 29% (n = 16) of patients in the bilateral group were obese (body mass index ≥ 25). The mean operative time was 66 min for the unilateral group and 100 min for the bilateral group. Postoperative complications occurred in 27 (11%) cases, which were minor morbidities except for one mesh infection. Three (1.2%) cases were converted to open surgery. Comparison of the variables between obese and non-obese patients found no significant differences in operative times or postoperative complications. Conclusion: LESS-TEP herniorrhaphy is a safe and feasible operation with excellent cosmetic results and a low rate of complication, even in obese patients. Further large-scale prospective controlled studies and long-term analyses are needed to confirm these results.
format Online
Article
Text
id pubmed-10003067
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100030672023-03-11 Laparoendoscopic Single-Site Inguinal Herniorrhaphy: Experience of a Single Institute Tee, Wei-Quen Wu, Yen-Ting Wang, Hung-Jen Chuang, Yao-Chi Lee, Wei-Chia Tsai, Chia-Hung Lee, Long-Yuan Chen, Chien-Hsu J Clin Med Article Background: Minimally invasive techniques for inguinal herniorrhaphy have focused on developing the laparoendoscopic single-site (LESS) procedure to improve cosmesis. Outcomes of total extraperitoneal (TEP) herniorrhaphy vary considerably because of being performed by different surgeons. We aimed to evaluate the perioperative characteristics and outcomes of patients undergoing the LESS-TEP approach for inguinal herniorrhaphy and to determine its overall safety and effectiveness. Methods: Data of 233 patients who underwent 288 laparoendoscopic single-site total extraperitoneal approach (LESS-TEP) herniorrhaphies at Kaohsiung Chang Gung Memorial Hospital between January 2014 and July 2021 were reviewed retrospectively. We reviewed the experiences and results of LESS-TEP herniorrhaphy performed by a single surgeon (CHC) using homemade glove access and standard laparoscopic instruments with a 50 cm long 30° telescope. Results: Among 233 patients, 178 patients had unilateral hernias and 55 patients had bilateral hernias. About 32% (n = 57) of patients in the unilateral group and 29% (n = 16) of patients in the bilateral group were obese (body mass index ≥ 25). The mean operative time was 66 min for the unilateral group and 100 min for the bilateral group. Postoperative complications occurred in 27 (11%) cases, which were minor morbidities except for one mesh infection. Three (1.2%) cases were converted to open surgery. Comparison of the variables between obese and non-obese patients found no significant differences in operative times or postoperative complications. Conclusion: LESS-TEP herniorrhaphy is a safe and feasible operation with excellent cosmetic results and a low rate of complication, even in obese patients. Further large-scale prospective controlled studies and long-term analyses are needed to confirm these results. MDPI 2023-02-23 /pmc/articles/PMC10003067/ /pubmed/36902571 http://dx.doi.org/10.3390/jcm12051786 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tee, Wei-Quen
Wu, Yen-Ting
Wang, Hung-Jen
Chuang, Yao-Chi
Lee, Wei-Chia
Tsai, Chia-Hung
Lee, Long-Yuan
Chen, Chien-Hsu
Laparoendoscopic Single-Site Inguinal Herniorrhaphy: Experience of a Single Institute
title Laparoendoscopic Single-Site Inguinal Herniorrhaphy: Experience of a Single Institute
title_full Laparoendoscopic Single-Site Inguinal Herniorrhaphy: Experience of a Single Institute
title_fullStr Laparoendoscopic Single-Site Inguinal Herniorrhaphy: Experience of a Single Institute
title_full_unstemmed Laparoendoscopic Single-Site Inguinal Herniorrhaphy: Experience of a Single Institute
title_short Laparoendoscopic Single-Site Inguinal Herniorrhaphy: Experience of a Single Institute
title_sort laparoendoscopic single-site inguinal herniorrhaphy: experience of a single institute
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10003067/
https://www.ncbi.nlm.nih.gov/pubmed/36902571
http://dx.doi.org/10.3390/jcm12051786
work_keys_str_mv AT teeweiquen laparoendoscopicsinglesiteinguinalherniorrhaphyexperienceofasingleinstitute
AT wuyenting laparoendoscopicsinglesiteinguinalherniorrhaphyexperienceofasingleinstitute
AT wanghungjen laparoendoscopicsinglesiteinguinalherniorrhaphyexperienceofasingleinstitute
AT chuangyaochi laparoendoscopicsinglesiteinguinalherniorrhaphyexperienceofasingleinstitute
AT leeweichia laparoendoscopicsinglesiteinguinalherniorrhaphyexperienceofasingleinstitute
AT tsaichiahung laparoendoscopicsinglesiteinguinalherniorrhaphyexperienceofasingleinstitute
AT leelongyuan laparoendoscopicsinglesiteinguinalherniorrhaphyexperienceofasingleinstitute
AT chenchienhsu laparoendoscopicsinglesiteinguinalherniorrhaphyexperienceofasingleinstitute