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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (02): 184-188. doi: 10.3877/cma.j.issn.1674-392X.2024.02.011

• Article • Previous Articles    

Application of the supraumbilical single-port laparoscopic preperitoneal technique in umbilical hernia repair

Zhisheng Chen1, Xianke Si1,(), Weidong Wu2, Sen Li1, Jiahua Yang1, Wei Li1, Kan Zheng1, Kun Yu1, Xiaorui Luo1, Weihong Ge3   

  1. 1. Department of Minimally Invasive Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China
    2. Department of Gastrointestinal Surgery, Shanghai General Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200080, China
    3. Department of General Surgery, The Fifth People's Hospital of Kunshan City, Suzhou 215300, Jiangsu Province, China
  • Received:2023-11-28 Online:2024-04-18 Published:2024-05-07
  • Contact: Xianke Si

Abstract:

Objective

To explore the clinical application value of the supraumbilical single-port laparoscopic preperitoneal repair technique in the treatment of umbilical hernias.

Methods

This retrospective study reviewed 18 patients who underwent umbilical hernia repair using the supraumbilical single-port laparoscopic preperitoneal technique at the Department of Minimally Invasive Surgery, Putuo Hospital, affiliated with Shanghai University of Traditional Chinese Medicine, from June 2021 to August 2023. The clinical outcomes and benefits were analyzed based on clinical data, technical details of the surgical procedure, and postoperative follow-up.

Results

All 18 patients successfully underwent surgery without conversion to open surgery. The average operation time was 106.67±28.49 minutes. Patients were encouraged to ambulate for 6 to 8 hours postoperatively. The visual analog scale scores at 8 and 24 hours postoperatively were 2.94 and 2.50, respectively. The average postoperative hospital stay was (2.02±0.63) days. There were no serious complications such as bleeding, intestinal obstruction, enterocutaneous fistula, or umbilical necrosis postoperatively. Follow-up periods ranged from 3 to 28 months, with a 100% follow-up rate and no recurrence observed.

Conclusion

The supraumbilical single-port laparoscopic preperitoneal umbilical hernia repair technique is safe and feasible, offering excellent cosmetic results with minimal scarring, less postoperative pain, and rapid recovery. It can be considered an alternative technique for laparoscopic umbilical hernia repair.

Key words: Umbilical hernia, Supraumbilical approach, Laparoscopy, Single-port, Preperitoneal space, Hernia repair

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