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

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.

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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