A pilot study for one-stop endoscopic total extraperitoneal inguinal hernia repair.
BACKGROUND
One-stop surgery was developed for patients to undergo surgical evaluation, anesthesia, surgery, and discharge all within 1 day. This study aimed to assess the feasibility, patient satisfaction, and potential of one-stop endoscopic total extraperitoneal (TEP) inguinal hernia surgery.


METHODS
After general practitioners had been informed, prospectively selected patients with unilateral or bilateral inguinal hernia underwent one-stop surgery by TEP. Pre- and postoperative questionnaires were used to evaluate patient satisfaction.


RESULTS
During 12 months, 52 patients were referred for one-stop surgery. There were no "no shows". The general practitioner correctly diagnosed inguinal hernia in 51 patients. On the scheduled date, 50 patients successfully underwent surgery using TEP, and 49 of these patients were satisfied with the procedure and would repeat one-stop surgery when indicated.


CONCLUSIONS
One-stop endoscopic TEP inguinal hernia surgery is feasible and safe. The majority of patients would give preference to a repeated procedure if necessary. This clinical pathway reduces the number of patient visits to the hospital for inguinal hernia repair and also suggests cost efficiency.
Jutte
Ewoud H
EH
Department of Surgery, The Red Cross Hospital, Vondellaan 13, Beverwijk, The Netherlands.
Cense
Huib A
HA
Dur
Alphons H M
AH
Hunfeld
Michiel A J M
MA
Cramer
Biron
B
Breederveld
Roelf S
RS
D000328:Adult; D000556:Ambulatory Surgical Procedures; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010865:Pilot Projects; D013526:Surgical Mesh; D055815:Young Adult
Ann Surg. 2003 Jan;237(1):136-41
12496541
J Pediatr Surg. 1999 Jan;34(1):129-32
10022157
Int J Clin Pract. 2008 May;62(5):750-3
18412933
Hernia. 2002 Jul;6(2):56-61
12152639
Ann R Coll Surg Engl. 2004 Nov;86(6):425-7
15527579
Surg Laparosc Endosc Percutan Tech. 2009 Oct;19(5):405-9
19851272
Eur Arch Otorhinolaryngol. 2006 Aug;263(8):764-6
16699785
Surgery. 2003 May;133(5):464-72
12773973
Langenbecks Arch Surg. 2009 Jan;394(1):31-9
18521624
Ann Surg. 2003 Jan;237(1):142-7
12496542
Surg Endosc. 2006 Jan;20(1):76-81
16247575
Hernia. 2007 Jun;11(3):253-6
17406784
Surg Endosc. 2007 Apr;21(4):634-40
17364153
Hernia. 2008 Aug;12(4):385-9
18283518
Hernia. 2009 Aug;13(4):343-403
19636493
South Med J. 1999 Mar;92(3):308-12
10094273
Ann R Coll Surg Engl. 2001 May;83(3):209-14
11432143
Ann Surg. 2009 Jan;249(1):33-8
19106673
Surg Endosc. 2003 Mar;17(3):491-3
12415338