Minimal incision scar-less open XXXX repair in adults - technical aspects and short-term results.

@entity1 @entity14147 @entity547
BACKGROUND: There is no gold standard technique for @entity14147 ( @entity14147 ) repair. Conventional open @entity14147 repair often produces an undesirable scar. Laparoscopic @entity14147 repair requires multiple incisions beyond the umbilicus, specialized equipments, and expensive tissue separating mesh. We describe our technique of open @entity14147 repair utilizing a small incision. The technique was derived from our experience with single incision laparoscopy. We report the technical details and short-term results. METHODS: This is a retrospective analysis of the first 20 @entity1 , who underwent minimal incision scar-less open @entity14147 repair, from June 2011 to February 2014. A single intra-umbilical curved incision was used to gain access to the @entity547 sac. Primary suture repair was performed for defects up to 2   cm. Larger defects were repaired using an onlay mesh. In @entity1 with a BMI of 30   kg/m(2) or greater, onlay mesh hernioplasty was performed irrespective of the defect size. RESULTS: A total of 20 @entity1 , 12 males and 8 females underwent the procedure. Mean age was 50 (range 29-82) years. Mean BMI was 26.27 (range 20.0-33.1) kg/m(2). Average size of the incision was 1.96 range (1.5-2.5) cm. Mesh hernioplasty was done in nine @entity1 . Eleven @entity1 underwent primary suture repair alone. There were no postoperative complications associated with this technique. Average postoperative length of hospital stay was 3.9 (range 2-10) days. Mean follow-up was 29.94   months (2   weeks to 2.78   years). On follow-up there was no externally visible scar in any of the @entity1 . There were no recurrences on final follow-up. CONCLUSION: This technique provides a similar cosmetic effect as obtained from single port laparoscopy. It is easy to perform, safe, offers good cosmesis, does not require incisions beyond the umbilicus, and cost effective, with encouraging results on short-term follow-up. Further research is needed to assess the true potential of the technique and the long-term results.
