title: Minilaparoscopy For Inguinal Hernia Repair.
abstract: OBJECTIVE
  Inguinal hernia repair is among the most common procedures performed worldwide and the laparoscopic totally extraperitoneal (TEP) approach is a recognized and effective surgical technique. Although technically advantageous because of the option of no mesh fixation and no need for creation of a peritoneal flap resulting, in less postoperative pain and faster recovery, TEP has not achieved the popularity it deserves, mainly because of its complexity and steep learning curve. Minilaparoscopy was first described in the 1990s and has recently gained significantly from better instrumentation that may increase TEP's effectiveness and acceptance. We performed a prospective study, to analyze the outcomes of minilaparoscopy in pain and operative time when compared to the conventional laparoscopic technique in hernia repair.
  
  
  METHODS
  Fifty-eight laparoscopic inguinal hernia repairs were performed: 36 by traditional laparoscopic technique and 22 by minilaparoscopic instruments (mini). A study protocol was applied prospectively for data collection. Variables analyzed were early postoperative pain (at hour 6 after procedure), pain at discharge, use of on-demand analgesics, and operative time.
  
  
  RESULTS
  The mini group presented reduced early postoperative pain and operative time. The present study also suggests less postoperative pain at discharge with mini procedures, although this difference was not statistically significant. No difference between the groups regarding on-demand use of analgesics was found.
  
  
  CONCLUSIONS
  This study corroborates findings in previously published papers that have shown the feasibility of minilaparoscopy in laparoscopic TEP hernia repair and its benefits regarding postoperative pain, operative time, and aesthetic outcomes.
authors: Department of Surgery, Gaffree Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
authors: Flavio
authors: F
authors: Malcher
authors: Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil.
authors: Leandro Totti
authors: LT
authors: Cavazzola
authors: University of Pernambuco, Faculty of Medical Sciences and Clinica Cirurgica Videolaparoscopica Gustavo Carvalho, Recife, Brazil.
authors: Gustavo L
authors: GL
authors: Carvalho
authors: Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil.
authors: Guilherme D E
authors: GD
authors: Araujo
authors: Department of Surgery, Gaffree Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
authors: José Antônio Da Cunha E
authors: JA
authors: Silva
authors: Global Hospitals and Mamata Hospital, Mumbai, India.
authors: Prashanth
authors: P
authors: Rao
authors: Department of Surgery, Gaffree Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
authors: Antonio Carlos
authors: AC
authors: Iglesias
mesh_terms: D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011446:Prospective Studies; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Endoscopic hernia repair; Microlaparoscopy; Minilaparoscopy; Minimal access hernia surgery; Needlescopic surgery