Learning curve of single-incision laparoscopic totally extraperitoneal repair (SILTEP) for inguinal hernia

Hernia ◽  
2021 ◽  
Author(s):  
Y. Y. Park ◽  
K. Lee ◽  
S. T. Oh ◽  
J. Lee
Keyword(s):  
Inguinal Hernia ◽  
Learning Curve ◽  
Single Incision ◽  
Totally Extraperitoneal ◽  
Totally Extraperitoneal Repair

Efficacy of single-incision laparoscopic totally extraperitoneal repair for irreducible or incarcerated inguinal hernia

2018 ◽  
Vol 12 (1) ◽  
pp. 95-100 ◽  
Author(s):  
Masaki Wakasugi ◽  
Yujiro Nakahara ◽  
Masaki Hirota ◽  
Takashi Matsumoto ◽  
Hiroyoshi Takemoto ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Single Incision ◽  
Incarcerated Inguinal Hernia ◽  
Totally Extraperitoneal ◽  
Totally Extraperitoneal Repair

Learning curve for single‐incision laparoscopic totally extraperitoneal inguinal hernia repair

2018 ◽  
Vol 12 (3) ◽  
pp. 301-305 ◽  
Author(s):  
Masaki Wakasugi ◽  
Yujiro Nakahara ◽  
Masaki Hirota ◽  
Takashi Matsumoto ◽  
Takashi Kusu ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Inguinal Hernia Repair ◽  
Single Incision ◽  
Totally Extraperitoneal

scholarly journals Usefulness of a Long Forceps Technique in Single-Incision Laparoscopic Surgery for Totally Extraperitoneal Repair of Inguinal Hernia

2017 ◽  
Vol 102 (3-4) ◽  
pp. 115-118
Author(s):  
Yutaka Tokairin ◽  
Yasuaki Nakajima ◽  
Kenro Kawada ◽  
Akihiro Hoshino ◽  
Kagami Nagai ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Preperitoneal Space ◽  
Single Incision Laparoscopic Surgery ◽  
Hernia Sac ◽  
Co2 Gas ◽  
Umbilical Incision ◽  
Totally Extraperitoneal ◽  
Totally Extraperitoneal Repair

Collisions between the laparoscope and the forceps remain a specific problem for single-incision laparoscopic surgery (SILS). We considered that the use of a long forceps would resolve this problem and use the long forceps in SILS for totally extraperitoneal repair (TEP). SILS for TEP (S-TEP) was performed to treat 34 inguinal hernias in 27 patients from November 2013 to February 2015. Among them, unilateral inguinal hernia repair was performed in 5 patients (median age: 71 years; range: 40–88 years) using a laparosonic coagulating shears (LCS) device and a straight long (43 cm) forceps. A 1-cm umbilical incision was made, a 5-mm flexible laparoscope was moved into the peritoneal cavity, and the type of inguinal hernia was diagnosed. Next, preperitoneal space was made using a finger or gauze. The single-port device was applied at preperitoneal space and insufflation was initiated with CO2 gas. The preperitoneal space was more easily created using a long straight forceps rather than standard ones. The hernia sac was then freed from the spermatic cord and a mesh was rolled, inserted, and deployed. Absorbable spiral tackers were used for fixation over the Cooper's ligament, lateral to the inferior epigastric vessels. The use of a long forceps was considered to be associated with reduction of the difficulty for dissection in S-TEP. We considered the use of a long forceps to be useful to the S-TEP operation.

scholarly journals A New Proposal for Learning Curve of TEP Inguinal Hernia Repair: Ability to Complete Operation Endoscopically as a First Phase of Learning Curve

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mustafa Hasbahceci ◽  
Fatih Basak ◽  
Aylin Acar ◽  
Orhan Alimoglu
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Inguinal Hernia Repair ◽  
Exact Nature ◽  
Conversion To Open Surgery ◽  
Totally Extraperitoneal ◽  
Surgeon Experience ◽  
Repair Ability ◽  
Complete Operation

Background. The exact nature of learning curve of totally extraperitoneal inguinal hernia and the number required to master this technique remain controversial.Patients and Methods. We present a retrospective review of a single surgeon experience on patients who underwent totally extraperitoneal inguinal hernia repair.Results. There were 42 hernias (22 left- and 20 right-sided) in 39 patients with a mean age of48.8±15.1years. Indirect, direct, and combined hernias were present in 18, 12, and 12 cases, respectively. The mean operative time was55.1±22.8minutes. Peritoneal injury occurred in 9 cases (21.4%). Conversion to open surgery was necessitated in 7 cases (16.7%). After grouping of all patients into two groups as cases between 1–21 and 22–42, it was seen that the majority of peritoneal injuries (7 out of 9, 77.8%,P=0.130) and all conversions (P=0.001) occurred in the first 21 cases.Conclusions. Learning curve of totally extraperitoneal inguinal hernia repair can be divided into two consequent steps: immediate and late. At least 20 operations are required for gaining anatomical knowledge and surgical pitfalls based on the ability to perform this operation without conversion during immediate phase.

Totally Extraperitoneal Repair in Inguinal Hernia

2019 ◽  
Vol 29 (4) ◽  
pp. 247-251 ◽  
Author(s):  
Asuri Krishna ◽  
Virinder K. Bansal ◽  
Mahesh C. Misra ◽  
Omprakash Prajapati ◽  
Subodh Kumar
Keyword(s):  
Inguinal Hernia ◽  
Totally Extraperitoneal ◽  
Totally Extraperitoneal Repair
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