Single-incision laparoscopic surgery with self-made port for totally extraperitoneal hernioplasty:a report of 7 cases
10.3785/j.issn.1008-9292.2015.1.013
- VernacularTitle:自制简易单孔器行单孔腹腔镜全腹膜外腹股沟疝修补术
- Author:
Qi-Long CHEN
1
;
Jia-Fei YAN
;
Di WU
;
Xiao-Yan CAI
;
Yu PAN
;
Wei-Wei JIN
;
Yi-Ping ZHU
;
Yi-Ping MOU
Author Information
1. 浙江大学医学院附属邵逸夫医院普外科浙江大学微创外科研究所
- Keywords:
Peritoneum/surgery;
Laparoscopy;
Hernia,inguinal/surgery
- From:
Journal of Zhejiang University. Medical sciences
2015;(1):79-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the feasibility of single-incision laparoscopic totally extraperitoneal hernioplasty ( SILS-TEP ) with self-made port for repairing of inguinal hernia .Methods: SILS-TEP was performed in 7 inguinal hernia patients ( 9 sides) with conventional laparoscopic instruments and self-made port, which composed of a wound retractor , surgical gloves and 3 ordinary trocars .The clinical data and fellow-up results of 7 cases were retrospectively collected and analyzed .Results: The self-made port was applied for SILS-TEP uneventfully without the need of additional ports in all 7 patients (9 inguinal hernias).The median operating time was 90.0 (70-125) min, intraoperative blood loss was 10.0 ( 5.0 -20.0 ) mL and postoperative hospital stay was 2.0 ( 2.0 -4.0 ) d.The median pain scores of visual analog scale (VAS) at 6 h,12 h, 24 h and 14 d were 3(2~4), 2(1~2), 1(0~2) and 0(0~1 ) , respectively .There were no intraoperative complications reported , and all patients were satisfied with wound healing . No hernia recurrence was observed during the 3-months of follow-up.Conclusion: Our initial experiences show that SILS-TEP with self-made port is s safe and feasible surgery , which can simplify the procedure with available equipments and reduce the cost , therefore can be applied in grass-root hospitals .
