title: The safety and usefulness of the single incision, transabdominal pre-peritoneal (TAPP) laparoscopic technique for inguinal hernia.
abstract: BACKGROUND
  The safety and usefulness of the SILS-TAPP (transabdominal pre-peritoneal) procedure remain unclear. The aim of this study was to clarify the safety and usefulness of the SILS-TAPP procedure compared with standard laparoscopic TAPP and TEPP (totally extra-peritoneal pre-peritoneal) procedures.
  
  
  METHODS
  85 patients underwent laparoscopic inguinal hernia repairs (TEPP, 30 patients; TAPP, 20 patients; SILS-TAPP, 35 patients) from 2007 to 2011. The operative outcomes of the three groups were compared.
  
  
  RESULTS
  There was no difference in the patients' characteristics among the three groups. The TEPP Group had a longer operation time. One patient in the SILS-TAPP group had an intraoperative complication. One patient in the TAPP group had a postoperative complication, and one patient had ileus and one had an umbilical hernia in the SILS-TAPP group. The postoperative hospital stay was not significantly different among the three groups. There were no recurrences in the TEPP group, 1 case of recurrence (5.0%) in the TAPP group, and 1 case (2.9%) in the SILS-TAPP group.
  
  
  CONCLUSIONS
  The present findings show that the SILS-TAPP repair is safe and feasible for the repair of adult inguinal hernia.
authors.affiliation: Department of Surgery, Institute of Health Biosciences, the University of Tokushima, Tokushima, Japan.
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Sato
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Shimada
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Kurita
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwata
authors.forename: Masanori
authors.initials: M
authors.lastname: Nishioka
authors.forename: Shinya
authors.initials: S
authors.lastname: Morimoto
authors.forename: Kozo
authors.initials: K
authors.lastname: Yoshikawa
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Miyatani
authors.forename: Masakazu
authors.initials: M
authors.lastname: Goto
authors.forename: Hideya
authors.initials: H
authors.lastname: Kashihara
authors.forename: Chie
authors.initials: C
authors.lastname: Takasu
mesh_terms: D000005:Abdomen; D000328:Adult; D000368:Aged; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010537:Peritoneum; D011183:Postoperative Complications / Q000453:epidemiology