Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/27679
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    標題: Transumbilical, Single-Port, Totally Extraperitoneal, Laparoscopic Inguinal Hernia Repair Using a Homemade Port and a Conventional Instrument: An Initial Experience
    作者: Shih, Tune-Yie
    Wen, Kuo-Chang
    Lin, Kai-Yuan
    Uen, Yih-Huei
    貢獻者: 生物科技系
    關鍵字: Cholecystectomy
    Surgery
    日期: 2012-03
    上傳時間: 2014-03-21 16:17:25 (UTC+8)
    出版者: Mary Ann Liebert Inc
    摘要: 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.
    關聯: Journal of Laparoendoscopic & Advanced Surgical Techniques, 22(2), 162-164
    顯示於類別:[生物科技系(所)] 期刊論文

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