Sujith Wijerathne, Hrishikesh Salgaonkar, Wee Boon Tan, Lynette Loo, Davide Lomanto. National University Hospital, Singapore
Introduction: Inguinal hernia repair is one of the most commonly performed surgical procedures. A variety of techniques have been described for the same. Recent development and advancement in MIS has focused towards reducing the access related scars and the resulting pain and morbidity in patients. Single incision surgery is a rapidly evolving field is gaining popularity among surgeons. More surgeons today readily accept and advocate Single or Reduced incision laparoscopic surgery. Single incision laparoscopic Surgery (SILS) for inguinal hernia repair is seen to be feasible and safe. The aim of our study is to evaluate our clinical experience, early and short term results and complications of single incision laparoscopic inguinal hernia repair at our centre.
Case Description: Between Jan 2008 to November 2016 total 88 patients underwent single incision endo-laparoscopic inguinal hernia repair (n=88). Patients underwent either TEP (n=60) or TAPP (n=28). All parameters of patients operated using SILS were collected and analyzed. Data including patient demographics, operating time, conversion if any, intraoperative and early postoperative complications were analyzed and compared.
Discussion: The mean age was 48.48 years (range, 20-81)). The mean operating time was 72.42 (44 to 100 min). Both procedures TEP and TAPP were comparable in terms of operative time and post op results. Except 1 conversion in TEP group, no intra–operative or early post–operative complications were reported. Most patients were discharged before 23 hours and none had a pain score > 2 at the time of discharge. Two patients developed seroma and one minor wound infection at port site which were managed conservatively. One patient developed recurrence after 3 years. No incisional hernia was detected during the follow-up. The operating time stabilized at around 12 cases.
Conclusion: Single incision laparoscopic surgery is a safe and feasible approach for inguinal hernia repair in experienced hands and at specialized centre’s. Even during the initial learning period it carries a low morbidity and conversion rate. Further randomized control studies with larger patient group are required to validate the results.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86296
Program Number: P039
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster