Transumbilical single-incision laparoscopic inguinal hernia repair – feasibility study  on anatomical specimens

Andreas Kirschniak; Thomas Shiozawa; Markus Küper; Frank A. Granderath

doi:10.5114/wiitm.2010.14208

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abstract:

Case report

Transumbilical single-incision laparoscopic inguinal hernia repair – feasibility study on anatomical specimens

Andreas Kirschniak

,

Thomas Shiozawa

,

Markus Küper

,

Frank A. Granderath

Videosurgery and other miniinvasive techniques 2010; 5 (2): 72-75

DOI: https://doi.org/10.5114/wiitm.2010.14208

Online publish date: 2010/07/01

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Laparoscopic inguinal hernia has replaced open surgery in recent years. For transabdominal preperitoneal mesh placement, 3 incisions have to be made to prepare the inguinal region, place the mesh and adapt the peritoneum with a suture. We describe the feasibility of a single incision transumbilical hernia repair. For this, we operated on 3 anatomical specimens (2 male, 1 female), which had been conserved using alcohol-glycerol fixation. A subumbilical 1.5 cm incision was performed, and three 5 mm trocars were inserted. The preparation and procedure steps conformed to conventional laparoscopic transabdominal preperitoneal hernia repair (TAPP). In the right port we used a 5 mm 30 degree laparoscope, for preparation a grasper and scissors with optional flexure. Mean procedure time was 45.5 min (35-55 min, ±7 min). The left and right inguinal region was prepared. Adaptation in handling and ergonomics needs familiarization.

keywords:

Transumbilical single-incision laparoscopic inguinal hernia repair – feasibility study on anatomical specimens

Andreas Kirschniak , Thomas Shiozawa , Markus Küper , Frank A. Granderath

single-incision surgery, natural orifice transluminal endoscopic surgery, inguinal hernia repair

Andreas Kirschniak

,

Thomas Shiozawa

,

Markus Küper

,

Frank A. Granderath