Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\39087094
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 World+J+Gastrointest+Surg
2024 ; 16
(7
): 2202-2210
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Potential applications of single-incision laparoscopic totally preperitoneal
hernioplasty
#MMPMID39087094
Wang XJ
; Fei T
; Xiang XH
; Wang Q
; Zhou EC
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2202-2210
PMID39087094
show ga
BACKGROUND: The totally preperitoneal (TPP) approach is a new concept that was
recently introduced. Although the TPP approach combined with single-incision
laparoscopic hernia repair has its own advantages, there is little evidence
reflecting the characteristics and feasibility of either approach. AIM: To
analyze the potential applications of single-incision laparoscopic TPP (SIL-TPP)
inguinal hernia hernioplasty for the treatment of inguinal hernias. METHODS: A
total of 152 SIL-TPP surgeries were performed at the First Affiliated Hospital of
Ningbo University from February 2019 to November 2022. A single-port, named
Iconport, and standard laparoscopic instruments were used during the operation.
Demographic data, intraoperative parameters and short-term postoperative outcomes
were collected and retrospectively analyzed. RESULTS: The demographic data of 152
patients underwent SIL-TPP were shown in Table 1. The average age was 49.5 years
(range from 21 to 81 years). The average body mass index was 27.7 kg/m(2) (range
from 17.7 kg/m(2) to 35.6 kg/m(2)). SIL-TPP were conducted successfully in 147
patients. Three patients were converted to the SIL-transabdominal preperitoneal
laparoscopic herniorrhaphy at the initial stage of the study due to a lack of
experience. In 2 patients with incisional hernias, an auxiliary operation hole
was added during the SIL-TPP procedure, as required for surgery. The mean
operative time was 64.5 minutes (range: 36.0-110.0 minutes) for unilateral direct
and femoral hernias and 81.6 minutes for indirect hernias (range: 40.0-150.0
minutes). The mean postoperative hospital stay was 3.4 days. CONCLUSION: SIL-TPP
is feasible and has advantages for inguinal hernia repair. SIL-TPP has potential
benefits for patients with various abdominal wall hernias. Consequently, doctors
should be encouraged to actively apply the TPP approach combined with a single
incision in their daily work.