title: Short-term outcome of single-incision laparoscopic totally extra-peritoneal inguinal hernia repair.
abstract: We performed single-incision laparoscopic surgery for totally extra-peritoneal (SILS-TEP) repair using a lightweight mesh fixed by absorbable tacks and without balloon dilation. Thirty-four patients (mean age, 66.5 years) underwent SILS-TEP repair in our hospital between September 2011 and April 2012; 30 patients had unilateral hernia and 4 had bilateral hernias. Mean operative time was 85.6 min for unilateral hernia and 137.7 min for bilateral hernias. All patients underwent successful SILS-TEP repair. Mean hospital stay was 3.4 days. Mean duration of follow-up was 7.1 months. Four seromas were observed, but no recurrences or major complications occurred. SILS-TEP is an economical and useful method for decreasing postoperative complications, such as neuralgia and recurrence, and it could be an attractive approach for inguinal hernia.
authors.affiliation: Department of Surgery, Osaka Police Hospital, Osaka, Japan. wakasugi@oph.gr.jp
authors.forename: Masaki
authors.initials: M
authors.lastname: Wakasugi
authors.forename: Hiroki
authors.initials: H
authors.lastname: Akamatsu
authors.forename: Masayuki
authors.initials: M
authors.lastname: Tori
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Ueshima
authors.forename: Takeshi
authors.initials: T
authors.lastname: Omori
authors.forename: Mitsuyoshi
authors.initials: M
authors.lastname: Tei
authors.forename: Toru
authors.initials: T
authors.lastname: Masuzawa
authors.forename: Toshirou
authors.initials: T
authors.lastname: Nishida
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome