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Article: Needlescopic totally extraperitoneal hernioplasty for unilateral inguinal hernia in adult patients

TitleNeedlescopic totally extraperitoneal hernioplasty for unilateral inguinal hernia in adult patients
Authors
Keywordsinguinal hernia
needlescopic surgery
totally extraperitoneal hernioplasty
Issue Date2011
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
Citation
Asian Journal Of Surgery, 2011, v. 34 n. 1, p. 23-27 How to Cite?
AbstractOBJECTIVE: Totally extraperitoneal (TEP) inguinal hernioplasty for inguinal hernia is associated with less postoperative pain, shorter hospital stays, less chronic pain, and increased patient satisfaction when compared with the open Lichtenstein approach.. However, only few studies to date have compared conventional with needlescopic TEP hernioplasty for treating unilateral inguinal hernias in adult patients. We report our prospective study that compared the postoperative outcomes of these two approaches over a 2-year period. METHODS: From July 2007 to June 2009, a total of 32 patients underwent attempted unilateral needlescopic TEP hernioplasty. All data were prospectively collected and analysed, including demographic features, types of hernia, and postoperative outcome. The results were compared with those of an agematched cohort of 32 patients who underwent conventional TEP hernioplasty in the same period. RESULTS: Needlescopic TEP hernioplasty was successfully performed in 24 patients. The other eight procedures were completed with conventional TEP approaches after changing one or two 5-mm ports. The most common hernia type was Nyhus type III (38/64, 59.3%). There was no significant difference in the mean operative time, hospital stay, and postoperative pain scores between the needlescopic and conventional approaches. There was no major complication detected on the first visit, except seroma formation (9 patients in the needlescopic group and 11 in the conventional group), all of which was resolved with conservative management. No recurrence of hernia was noted in either group during the mean follow-up period of 88.0 weeks. CONCLUSION: Needlescopic TEP hernioplasty was a feasible technique in selected patients for inguinal hernia repair. Postoperative recovery following both approaches was similar. However, because this was a small cohort study, larger prospective, randomized controlled trials are required to establish the longterm benefit, safety and complications of needlescopic surgery. © 2011 Asian Surgical Association.
Persistent Identifierhttp://hdl.handle.net/10722/137558
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.427
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorShe, WHen_HK
dc.contributor.authorLo, OSHen_HK
dc.contributor.authorFan, JKMen_HK
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorLaw, WLen_HK
dc.date.accessioned2011-08-26T14:27:56Z-
dc.date.available2011-08-26T14:27:56Z-
dc.date.issued2011en_HK
dc.identifier.citationAsian Journal Of Surgery, 2011, v. 34 n. 1, p. 23-27en_HK
dc.identifier.issn1015-9584en_HK
dc.identifier.urihttp://hdl.handle.net/10722/137558-
dc.description.abstractOBJECTIVE: Totally extraperitoneal (TEP) inguinal hernioplasty for inguinal hernia is associated with less postoperative pain, shorter hospital stays, less chronic pain, and increased patient satisfaction when compared with the open Lichtenstein approach.. However, only few studies to date have compared conventional with needlescopic TEP hernioplasty for treating unilateral inguinal hernias in adult patients. We report our prospective study that compared the postoperative outcomes of these two approaches over a 2-year period. METHODS: From July 2007 to June 2009, a total of 32 patients underwent attempted unilateral needlescopic TEP hernioplasty. All data were prospectively collected and analysed, including demographic features, types of hernia, and postoperative outcome. The results were compared with those of an agematched cohort of 32 patients who underwent conventional TEP hernioplasty in the same period. RESULTS: Needlescopic TEP hernioplasty was successfully performed in 24 patients. The other eight procedures were completed with conventional TEP approaches after changing one or two 5-mm ports. The most common hernia type was Nyhus type III (38/64, 59.3%). There was no significant difference in the mean operative time, hospital stay, and postoperative pain scores between the needlescopic and conventional approaches. There was no major complication detected on the first visit, except seroma formation (9 patients in the needlescopic group and 11 in the conventional group), all of which was resolved with conservative management. No recurrence of hernia was noted in either group during the mean follow-up period of 88.0 weeks. CONCLUSION: Needlescopic TEP hernioplasty was a feasible technique in selected patients for inguinal hernia repair. Postoperative recovery following both approaches was similar. However, because this was a small cohort study, larger prospective, randomized controlled trials are required to establish the longterm benefit, safety and complications of needlescopic surgery. © 2011 Asian Surgical Association.en_HK
dc.languageengen_US
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#descriptionen_HK
dc.relation.ispartofAsian Journal of Surgeryen_HK
dc.subjectinguinal herniaen_HK
dc.subjectneedlescopic surgeryen_HK
dc.subjecttotally extraperitoneal hernioplastyen_HK
dc.subject.meshEquipment Design-
dc.subject.meshFeasibility Studies-
dc.subject.meshHernia, Inguinal - surgery-
dc.subject.meshLaparoscopy - instrumentation-
dc.subject.meshSurgical Procedures, Minimally Invasive - instrumentation-
dc.titleNeedlescopic totally extraperitoneal hernioplasty for unilateral inguinal hernia in adult patientsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1015-9584&volume=34&issue=1&spage=23&epage=27&date=2011&atitle=Needlescopic+totally+extraperitoneal+hernioplasty+for+unilateral+inguinal+hernia+in+adult+patients-
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S1015-9584(11)60014-6en_HK
dc.identifier.pmid21515209-
dc.identifier.scopuseid_2-s2.0-79955451043en_HK
dc.identifier.hkuros191447en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79955451043&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume34en_HK
dc.identifier.issue1en_HK
dc.identifier.spage23en_HK
dc.identifier.epage27en_HK
dc.identifier.isiWOS:000290195600004-
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridShe, WH=35574579400en_HK
dc.identifier.scopusauthoridLo, OSH=6508168045en_HK
dc.identifier.scopusauthoridFan, JKM=23484820100en_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK

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