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Scarless needlescopic transabdominal preperiotneal inguinal hernia repair: An alternative to single‐incision repair
Author(s) -
Yang George P.C.,
Tung Karen L.M.,
Lai Eric C.H.,
Chan Oliver C.Y.,
Tang ChungNgai,
Li Michael K.W.
Publication year - 2012
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2012.00618.x
Subject(s) - medicine , inguinal hernia , surgery , hernia , perioperative , hernia repair , general surgery
The two current standard laparoscopic approaches for inguinal hernia repair are transabdominal preperiotneal and totally extraperitoneal. Single‐incision repairs have been explored in an effort to further reduce the invasiveness of the surgery. However, with single incision, surgeons need to possess special skills and require special instruments. Needlescopic inguinal hernia repair could represent a more attractive alternative. Using a transumbilical incision, an almost scarless transabdominal preperiotneal can be achieved. In the present study, we report our experience of scarless needlescopic transabdominal preperiotneal inguinal hernia repair. Patients and Methods This is a prospective analysis of a cohort of patients with inguinal hernia who underwent elective scarless needlescopic transabdominal preperiotneal repair. Patient demographic data, type of hernia, operative time, perioperative and postoperative course, pain score and final patient satisfaction score were all recorded for analysis. Results In M arch 2011, four patients received scarless needlescopic transabdominal preperiotneal for inguinal hernia repair. Their average age was 57.25 years. The mean operative time was 79.5 min. The patients were discharged on the same day. There were no postoperative complications. Conclusion Scarless needlescopic transabdominal preperiotneal inguinal hernia repair is feasible and safe, and is well accepted by patients. Further studies will be conducted to evaluate its full potential.