Laparoendoscopic single-site herniorrhaphy after gynecologic surgery

Hsuan Su, Lulu Huang, Chien Min Han, Chin Jung Wang*, Kuan Gen Huang, Chih Feng Yen

*此作品的通信作者

研究成果: 期刊稿件文章同行評審

1 引文 斯高帕斯(Scopus)

摘要

Background and Objectives: Increased interest in laparoendoscopic single-site surgery has instigated research into trials of novel techniques. The procedure we propose may potentially improve patient satisfaction and cosmetic results while diminishing the incidence of trocar-site herniation. We report our initial experience with laparoendoscopic single-site totally extraperitoneal herniorrhaphy for postoperative incisional hernia to determine the procedure’s feasibility and safety. Methods: Three patients with incisional hernias after gynecologic surgery underwent laparoendoscopic singlesite totally extraperitoneal procedures. We evaluated the patients’ preoperative and postoperative condition, as well as the details of their original surgery. We performed the procedure through a 2-cm umbilical incision followed by mesh insertion and transabdominal suture placement in all patients. Results: Laparoendoscopic single-site totally extraperitoneal herniorrhaphy was completed in 80 to 120 minutes. No intraoperative complications were encountered, and surgical blood loss was minimal. The duration of hospital stay ranged from 2 to 4 days. One patient had a postoperative wound infection. The patients have shown no sign of recurrence at 9 months’ follow-up. Conclusion: Laparoendoscopic single-site totally extraperitoneal herniorrhaphy appears to be feasible and safe. It may be performed with readily available instruments, although further experience and practice are warranted for a more efficient repair. The procedure has similar advantages to a multiport laparoscopic totally extraperitoneal procedure but yields better cosmetic results. More studies are needed to assess the long-term benefits and complications of this procedure.

原文英語
文章編號e2014.00210
期刊Journal of the Society of Laparoendoscopic Surgeons
18
發行號3
出版狀態已出版 - 2014
對外發佈

文獻附註

Publisher Copyright:
© 2014 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. Published by the Society of Laparoendoscopic Surgeons, Inc.

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