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Japanese

The strategy of single port hernia repair with transabdominal preperitoneal approach for the adult inguinal hernia : review and comparison with conventional transabdominal preperitoneal approach Ken HAYASHI 1 , Koichi OKITA 1 , Yasuhiro MUNAKATA 1 , Soichi TAGAMI 1 , Soichi NARUMOTO 1 , Futoshi MURANAKA 1 1Department of Surgery, Nagano Municipal Hospital Keyword: 単孔式内視鏡下ヘルニア修復術 , 経腹法(TAPP) , 成人鼠径ヘルニア pp.253-259
Published Date 2012/4/15
DOI https://doi.org/10.11477/mf.4426100773
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 Hernia repair using single port with transabdominal preperitoneal approach (S-TAPP) was performed in 14 patients (20 sides). The aim of this study is to review the initial experience and to compare the results of the new method. The assessment was made between this new method and conventional-TAPP (C-TAPP) method that was performed in 134 patients (169 sides) between 2001 and 2010. Patients' background, operation time, hospital stay after surgery, complication and recurrent rate were compared. In patients with primary unilateral hernia, the operation time of S-TAPP group (94.0±16.4 min.) was similar to C-TAPP group (106.6±32.5 min.). The operation time of S-TAPP group tended to be longer than C-TAPP group in bilateral hernia patients (P<0.1) as well as for those with recurrent unilateral hernia and those who underwent prostate operation. Post operative hospitalization (S-TAPP : 3.00±0.39 days VS C-TAPP : 3.36±1.25 days) and complication rate (S-TAPP : 7% VS C-TAPP : 7.5%) were similar for both groups. No recurrence occurred in either group. Single port-TAPP was feasible and this method is considered to be safe, steady and more cosmetic for adult inguinal hernia patients.


Copyright © 2012, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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