Single-incision laparoscopic transabdominal preperitoneal XXXX using only conventional instruments: an initial report.

@entity1 @entity281 @entity169 @entity547
INTRODUCTION: Notes is the logical answer to scarless surgery, but despite being around for almost 4-5 years, it has to still garner a major support because of a number of limitations. Single-incision laparoscopic surgery, especially when done through the umbilicus, should be the perfect answer as far as the absence of any visible scar is concerned. MATERIALS AND METHODS: All the 67 @entity1 were operated by the same surgeon through a transversely placed umbilical incision in the lower half of the umbilicus. Three conventional ports, 10, 5, and 5    mm, were introduced through the same skin incision but separate transfacial punctures. The instruments included 10-mm and 5-mm 30   rigid telescopes and rigid instruments as in standard laparoscopic cholecystectomy. @entity1 with @entity547 and obstructed @entity547 were included, and those with strangulated @entity547 were excluded. RESULTS: All the @entity1 were @entity1 , with an average age of 38.6 years. Three @entity1 had @entity547 and 2 each had irreducible and obstructed @entity547 . The mean operating time was 42.8 minutes for unilateral hernias when tackers were used and 51.7 minutes in those in whom intracorporeal suturing was done. The operating time for @entity547 was 71.7 minutes. There was minimal flap discharge, without @entity281 , in 3 @entity1 . There were no other complications. There were no conversions and no recurrences upto 9 months of follow-up. CONCLUSIONS: Transumbilical single-skin-incision laparoscopic transabdominal preperitoneal repair for groin hernias, performed solely with conventional instruments, is feasible, easy to learn, and probably the future of laparoscopic @entity169 .
