Indirect inguinal hernia repair conducted with single conventional port intracorporeal conventional equipment‑endoscopic surgery
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Laparoscopic Inguinal Hernia Repair (IHR) with Single Conventional Port
Laparoscopic or laparoscopy-assisted inguinal hernia repair (IHR) in pediatric patients can be effectively performed using a single port combined with two stab wounds. This study presents a specialized experience with laparoscopic IHR conducted using only a single conventional port and a single working instrument. The primary objective is to evaluate the feasibility, safety, and clinical outcomes of this intracorporeal technique.
Study Methodology and Patient Demographics
The research involved a retrospective evaluation of patients who underwent single conventional port intracorporeal IHR between November 2013 and December 2018. To ensure a comprehensive analysis, the following outcome measurements were recorded:
- Patient demographic characteristics
- Hernia side and presence of incarceration
- Operative time and hospital stay duration
- Intraoperative and postoperative complications
A total of 112 patients (76 boys and 36 girls) were included in the study, representing 132 inguinal hernias (52 right, 40 left, and 20 bilateral). The age range of the patients spanned from 3 months to 17 years, with a mean age of 69.8±53.4 months.
Clinical Results and Operative Findings
During the surgical procedures, a patent contralateral processus vaginalis was identified in six patients. Additionally, incarcerated inguinal hernia was present in two cases. The operative efficiency and recovery metrics are summarized in the table below:
| Parameter | Unilateral Hernia | Bilateral Hernia | Overall / Follow-up |
|---|---|---|---|
| Mean Operative Time | 17.9±3.8 min (9–30 min) | 28.9±6.5 min (24–45 min) | - |
| Mean Hospital Stay | - | - | 8.8±5.0 hours (4–36 h) |
| Follow-up Period | - | - | 16.5±5.1 months (6–24 m) |
Critically, no intraoperative or postoperative complications were encountered during the study. Furthermore, no recurrent inguinal hernias were detected during the follow-up period, highlighting the long-term success of the procedure.
Conclusion: Safety and Efficacy of the Single Port Technique
Single conventional port intracorporeal IHR offers significant advantages by obviating the need for additional stab wounds. This technique effectively eliminates risks associated with subcutaneously placed knots in laparoscopy-assisted IHR, such as:
- Skin puckering and subcutaneous granuloma
- Postoperative infections
- Nerve and muscle damage development
In conclusion, single conventional port intracorporeal IHR in children is a feasible and safe operative technique characterized by low complication rates and excellent cosmetic results.
