Development of scar-less laparoscopic hernia repair (TAPP-252) facilitated by new 2mm instruments.
BACKGROUND
To minimize the invasiveness of laparoscopic transabdominal preperitoneal hernia repair (TAPP) for the treatment of adult inguinal hernia, we developed a new operative technique with the use of only one 5 mm port and two 2 mm punctures (TAPP-252).


METHODS
To facilitate TAPP-252, we developed seven kinds of new 2 mm instruments, including grasping forceps, hook shaped electrode, mesh pusher, needle driver, scissors, laparoscope and port.


RESULTS
TAPP-252 was stably performed in 35 patients with minimal abdominal wall destruction and excellent cosmetic result without any recurrence or morbidity.


CONCLUSIONS
The newly developed 2 mm devices showed sufficient performance and durability in TAPP-252. Further investigation is necessary to assess durability and long-term outcomes.
a Hernia Center, Medical Topia Soka , Saitama , Japan.
Aya
A
Kamei
a Hernia Center, Medical Topia Soka , Saitama , Japan.
Eiji
E
Kanehira
a Hernia Center, Medical Topia Soka , Saitama , Japan.
Masafumi
M
Nakagi
a Hernia Center, Medical Topia Soka , Saitama , Japan.
Takashi
T
Tanida
D002921:Cicatrix / Q000517:prevention & control; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods*; D008297:Male; D061646:Operative Time; D011183:Postoperative Complications; D013525:Surgical Instruments
Needlescopic surgery; TAPP; hernia; minilaparoscopy; reduced port surgery