Single-incision laparoscopic surgery for totally extraperitoneal herniorrhaphy via umbilical incision: A report of 95 cases

doi:10.3877/cma.j.issn.1674-392X.2020.04.007

Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (04): 350-354. doi: 10.3877/cma.j.issn.1674-392X.2020.04.007

Special Issue: ；；；

• Clinical Article • Previous Articles Next Articles

Single-incision laparoscopic surgery for totally extraperitoneal herniorrhaphy via umbilical incision: A report of 95 cases

Yizhong Zhang¹^,^†(), Junjie Chen², Jiansong Tang³, Changlei Qi¹, Yongfeng Shuai¹, Lu Zhu², Ronghua Chu²

^1. Department of General Surgery, The Affiliated Hospital of Medical School of Ningbo University, Ningbo 315020, China
^2. Department of General Surgery, Ningbo Beilun Hospital of Traditional Chinese Medicine, Ningbo 315800, China
^3. Department of General Surgery, Ningbo Beilun Third People's Hospital, Ningbo 315806, China

Received:2019-10-18 Online:2020-08-18 Published:2020-08-18
Contact: Yizhong Zhang
About author:
Corresponding author: Zhang Yizhong, Email: 55539310@qq.com

Abstract

Abstract:

Objective

To summarize the technique of single incision laparoscopic surgery (SILS) via umbilicus for total extraperitoneal inguinal herniorrhaphy (SILS-TEP).

Methods

95 cases clinical data of SILS-TEP which were performed in the Affiliated Hospital of Medical School of Ningbo University from October 2018 to June 2019 were analyzed.

Results

95 cases underwent SILS-TEP and 2 cases were converted to conventional TAPP. The average unilateral hernia operation time was (66.74±10.95) minutes. There were 3 cases of seroma, 2 cases of infection in umbilical incision, no hematoma of scrotum, chronic pain, mesh infection and hernia of umbilical incision, and no recurrence during follow-up. The main techniques included: the improvement/construction of conventional single port and the operation with suction hook; the arc-shaped incision at the lower edge of the umbilicus was conducive to the concealment of scars; the cross operation of left and right hands; the separation of the hernia sac with electric hook or the separation clamp after being electrified.

Conclusion

It is safe and feasible to operate SILS-TEP under the condition of skilled operation and standard operation.

Key words: Hernia, inguinal, Single incision, laparoscopy, Total extraperitoneal inguinal herniorrhaphy

Yizhong Zhang, Junjie Chen, Jiansong Tang, Changlei Qi, Yongfeng Shuai, Lu Zhu, Ronghua Chu. Single-incision laparoscopic surgery for totally extraperitoneal herniorrhaphy via umbilical incision: A report of 95 cases[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(04): 350-354.

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Figures/Tables 9

References 15

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