• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Comparison of conventional versus single incision laparoscopic surgery (SILS) totally extraperitoneal (TEP) inguinal hernia repair

Hayashi Nobuyasu, MD, D, Isao Arai, MD, PhD, Tamura Chieko, MD, Ichiro Ohashi, MDPhD, Inoue Shigeharu, MD

Hannan Chuo Hospital

INTRODUCTION: Single incision laparoscopic surgery (SILS) has recently been deployed in certain surgical procedures including totally extra peritoneal (TEP) inguinal hernia repair. Currently, SILS has been demonstrated to perform with no immediate intra or postoperative complications for inguinal hernia. However, to our knowledge, few studies have reported to show this procedure as a feasible alternative to the standard laparoscopic approach. The aim of this study is to investigate whether SILS-TEP procedure can provide favorable advantage over conventional laparoscopic surgery for the treatment of inguinal hernia.

METHODS AND PROCEDURES: Sixty two patients (16 SILS-TEP and 46 conventional laparoscopic TEP(C-TEP) approach) were enrolled in this study, comparing SILS-TEP to C-TEP for hemi lateral inguinal hernia. SILS-TEP procedure was carried out with a homemade single-port device as we demonstrated before. These patients were analyzed with regard to the patient demographics, length of operation, postoperative pain, postoperative hospital stay, days to return to normal activities or work, as well as the complications. Postoperative pain was assessed using the numerical rating scale (NRS).

RESULTS: There was no conversion to conventional laparoscopic surgery or open surgery in SILS-TEP group. Median NRS at rest were lower in SILS-TEP group at 4 h (6 vs 8, P=0.04), at 12 h (5 vs 7, P=0.04), and at 24 h (4 vs 6, P=0.03) after the operations. Pain the first week after surgery were similar in both groups (P=NS). Regarding the length of operation, SILS-TEP group (median 119 min) was significantly longer than that of the C-TEP group (median 92 min) (P < 0.001) There was no surgical mortality or reintervention within 30 days in either group. There were no significant difference in other perioperative outcomes between SILS-TEP group and C-TEP group.

CONCLUSIONS: Although the longer duration of surgery tends to be required, SILS-TEP provided better pain control within 24 hours after the operation than C-TEP for inguinal hernia repair.


Session: Poster Presentation

Program Number: P297

661

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons