Abstract | BACKGROUND AND OBJECTIVES: In recent years, 2 modifications of laparoscopic transabdominal preperitoneal ( TAPP) inguinal hernia repair-needlescopic (nTAPP) surgery and single-port (sTAPP) surgery-have greatly improved patient outcomes over traditional approaches. For a comparison of these 2 modifications, we sought to investigate and compare the extent of surgical trauma and postoperative consequences for the abdominal wall in these two procedures. METHODS: In a retrospective study, 50 nTAPP and 35 sTAPP procedures occurring at a community hospital from November 1, 2009, through July 31, 2012 were reviewed. Intraoperative data, including length of the umbilical skin incision and operative time, were recorded. A follow-up evaluation included investigation of hernia recurrence, postoperative pain, abdominal wall mobility, cosmetic satisfaction, and period of sick leave. RESULTS: The mean umbilical skin incision was 13 ± 4 mm in nTAPP vs 27 ± 3 mm in sTAPP (P < .001). The nTAPP procedure required less operating time than the sTAPP procedure (54.8 ± 16.9 minutes vs 85.9 ± 19.7 minutes; P < .001). The mean immediate postoperative pain score on the visual analog scale was 2.7 ± 2.1 in the nTAPP group and 4.4 ± 1.9 in the sTAPP group (P = .016). In addition, patients who underwent nTAPP had a shorter period of sick leave (11.2 ± 8.4 days vs 24.1 ± 20.1 days; P = .02). At the follow-up evaluation after approximately 30 months, abdominal wall mobility and cosmetic satisfaction were equally positive, with no hernia recurrence. CONCLUSION: In patients with uncomplicated inguinal hernia, the nTAPP procedure, with less surgical trauma and operating time, has distinct advantages in reduction of immediate postoperative pain and sick leave time.
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Authors | Yi-Wei Chan, Christian Hollinsky |
Journal | JSLS : Journal of the Society of Laparoendoscopic Surgeons
(JSLS)
2015 Jul-Sep
Vol. 19
Issue 3
ISSN: 1938-3797 [Electronic] United States |
PMID | 26229421
(Publication Type: Journal Article)
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Topics |
- Equipment Design
- Female
- Hernia, Inguinal
(surgery)
- Herniorrhaphy
(methods)
- Humans
- Laparoscopes
- Laparoscopy
(instrumentation)
- Male
- Middle Aged
- Operative Time
- Retrospective Studies
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