Transumbilical, Single-Port, Totally Extraperitoneal, Laparoscopic Inguinal Hernia Repair Using a Homemade Port and a Conventional Instrument: An Initial Experience

doi:10.1089/lap.2011.0235

CNU IR > Pharmacy and Science > Dept. of Biotechnology (including master's program) > Periodical Articles > Item 310902800/27679

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/27679

Title:	Transumbilical, Single-Port, Totally Extraperitoneal, Laparoscopic Inguinal Hernia Repair Using a Homemade Port and a Conventional Instrument: An Initial Experience
Authors:	Shih, Tune-Yie Wen, Kuo-Chang Lin, Kai-Yuan Uen, Yih-Huei
Contributors:	生物科技系
Keywords:	Cholecystectomy Surgery
Date:	2012-03
Issue Date:	2014-03-21 16:17:25 (UTC+8)
Publisher:	Mary Ann Liebert Inc
Abstract:	Objective: To assess the feasibility, safety, and short-term outcome of a transumbilical, single-port, totally extraperitoneal (TEP) laparoscopic inguinal hernia repair, using a homemade port and a conventional instrument.Patients and Methods: Thirty consecutive patients with inguinal hernias (including 20% with bilateral inguinal hernias) underwent a transumbilical, single-port, TEP laparoscopic hernia (LH) repair using a homemade port composed of a segment of corrugated anesthesia tube and a pair of surgical gloves. All operation procedures were done using conventional laparoscopic instruments with manually angled shafts in the same manner as standard multiple-port surgeries, but using the reverse hand technique.Results: All the procedures were completed uneventfully and did not require additional ports. Operation times averaged 98.3 +/- 26.7 minutes for the unilateral LH and 121.4 +/- 13.5 minutes for the bilateral LH. There were no perioperative complications except for 2 patients (7%) who developed wound seromas, which resolved after conservative treatment. No hernia recurred during the 6-month follow-up.Conclusion: A transumbilical, single-port, TEP laparoscopic hernioplasty using a homemade port and a conventional instrument permitted nearly scarless surgery for the treatment of inguinal hernias. Further studies are necessary before this approach can be recommended as a standard procedure.
Relation:	Journal of Laparoendoscopic & Advanced Surgical Techniques, 22(2), 162-164
Appears in Collections:	[Dept. of Biotechnology (including master's program)] Periodical Articles

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