TITLE:
Single Incision Laparoscopic Transabdominal Preperitoneal Repair for Strangulated Groin Hernia
AUTHORS:
Po Ching Cathy Ng, George Pei Cheung Yang, Michael Ka Wah Li
KEYWORDS:
Single Incision Laparoscopic Surgery; Transabdominal Preperitoneal Repair; Strangulated Hernia; Groin Hernia
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.4 No.6A,
June
20,
2013
ABSTRACT: Introduction: Single
incision laparoscopic surgery (SILS) has become more popular for various
surgical procedures including hernia surgery. Initial results of SILS in
elective hernia repair were comparable to those of conventional laparoscopic
approaches. However the use of SILS in emergency case has not been widely
reported. This study aimed to evaluate the feasibility of the use of single
incision laparoscopic transabdominal preperitoneal (TAPP) repair for patients
presenting with strangulated groin hernia. Method: Emergency
single incision laparoscopic TAPP repair were performed in our unit from June
2011 onwards for selected patients. Retrospectively data including the patient
demographics, operative time, type of hernia, hospital stay, complications and
recurrence rate were collected and analyzed. Result: There
were a total of five patients in this series from June 2011 to June 2012. The
median age was 62 years old with a male to female ratio of 4:1. Four patients
had unilateral hernia (one femoral and three inguinal hernias) and one had
bilateral hernia (unilaterally strangulated femoral hernia and bilaterally
reducible indirect inguinal hernia). The median operative time was 75 minutes
for patients with unilateral repair. None of the patients required bowel
resection. The conversion rate to either conventional laparoscopic or open
repair was zero. The median hospital stay was 2 days. No major complication or
recurrence was detected. Conclusion: This series showed that single port
laparoscopic TAPP repair for strangulated groin hernia is a feasible option
with no major complication reported.