Laparoscopic Umbilical Hernia Repair Using a “Two-Port” Technique: A Single-Center Experience

Abstract

Background: Laparoscopic umbilical hernia repair has gained popularity over the last decade. As an alternative to the classical three- to four-port laparoscopic technique, the two-port technique is reported to have the advantages of being the least minimally invasive umbilical repair procedure described to date. The aim of this study was to determine the operative outcomes of patients treated using the two-port umbilical hernia repair technique. Methods: This was a retrospective, single-center study. The case notes of 52 patients undergoing umbilical hernia repair between November 2015 and November 2016 via the two-port method were reviewed. Operative time and hospital stay were recorded. Data were analyzed using descriptive statistics. Results: The operating time was 32 min on average. There was no significant procedural blood loss, iatrogenic injury, or subcutaneous emphysema. No patient required conversion to conventional methods. All patients were comfortable in the postoperative period and were routinely discharged on the second postoperative day. Forty-five of the 52 cases completed 3-month follow-up without any reported complications. Conclusions: Excellent outcomes are possible using the two-port technique for umbilical hernia repair. However, proper patient selection and experience and proficiency in performing laparoscopic hernia repair are prerequisites for good outcomes. J Curr Surg. 2017;7(3):39-41 doi: https://doi.org/10.14740/jcs329w