J Minim Invasive Surg.  2017 Mar;20(1):42-45. 10.7602/jmis.2017.20.1.42.

A Comparative Analysis of Single Umbilical Tangential Incision vs. Conventional Three-port Totally Extraperitoneal Inguinal Hernia Repair

• Choi HS
• Sul JY

• KMID: 2371854
• DOI: http://doi.org/10.7602/jmis.2017.20.1.42

Abstract

PURPOSE
We have explored the question of what benefits SUTI-TEP can provide over conventional three-port TEP (C-TEP) surgery for the treatment of inguinal hernia.
METHODS
One hundred forty cases (70 SUTI-TEP and 70 C-TEP) were reviewed in this study. SUTI-TEP procedure was carried out with SILSâ„¢ port as we reported before. Patient demographics and perioperative outcomes of SUTI-TEP were analyzed and compared with those of C-TEP.
RESULTS
There was no conversion to open surgery or C-TEP in SUTI-TEP group. Median VAS immediate postoperatively was slightly higher in SUTI-TEP group, but it was statistically significant. POD 7th day pain after surgery were similar in both groups. Regarding the length of operation time, SUTI-TEP group (71.2 min) was significantly longer than that of the C-TEP group (41 min) (p<0.001). There was no major morbidity or mortality postoperatively in either group. There was also no recurrence or chronic pain during follow up. Patient overall satisfaction including cosmetic outcome was excellent in SUTI-TEP group.
CONCLUSION
Although the longer operation time tends to be required, SUTI-TEP can provide better cosmesis and patient satisfaction, and also safety. That may be good indicator of the success of after surgery. Also we should not presume that one large incision causes less pain than small multiple incision because it is just single one. If there is more pain in one single wound, we should find the solution through the innovation of technology or preventive measures.

Keyword

Hernia; Inguinal/surgery; Laparoscopy/methods; Herniorrhaphy/methods; Treatment outcome

MeSH Terms

Chronic Pain
Conversion to Open Surgery
Demography
Follow-Up Studies
Hernia
Hernia, Inguinal*
Humans
Mortality
Patient Satisfaction
Recurrence
Treatment Outcome
Wounds and Injuries