Evaluation of Single Incision Trans Abdominal Pre Peritoneal Repair (SITAPP) in Clinico-radiologically Diagnosed Bilateral Inguinal Hernia Using Conventional Instruments

Abstract

Background: Laparoscopic inguinal hernia repair is a common surgical procedure performed worldwide. In this era of rapidly advancing surgical technology, surgeons are often keen to modify the technique of laparoscopic surgery by reducing the number and size of incisions. The aim of this observational study was to present the results of a single incision laparoscopic surgical (SILS) approach for trans- abdominal preperitoneal mesh hernioplasty (SITAPP) in cases of bilateral inguinal hernia. Methods: Forty eight patients with bilateral inguinal hernia who underwent TAPP were prospectively evaluated. Data regarding patient demographics, type of hernia, operating time, complications and duration of hospital stay were prospectively collected. Single incision TAPP (SITAPP) was performed using conventional instruments and surgical technique similar to standard 3 port TAPP was used, except that it was conducted through a single umbilical port. Results: All patients were male and the mean age was 50 years (range 30 - 68 years). The mean duration of surgery was 155.83 minutes (range 120 - 310 minutes). The procedures were completed successfully in all the patients without requiring conversion to the traditional laparoscopic surgery or use of additional ports. There was no evidence of early recurrence after a follow up period of 42 days. Conclusion: SITAPP for bilateral hernia is feasible and seems to be safe in experienced hands. However, studies with larger sample size with comparative analysis are required to establish long term clinical outcomes and recurrence rates.