Copyright
©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2017; 9(12): 264-269
Published online Dec 27, 2017. doi: 10.4240/wjgs.v9.i12.264
Published online Dec 27, 2017. doi: 10.4240/wjgs.v9.i12.264
Utility of single-incision totally extraperitoneal inguinal hernia repair with intraperitoneal inspection
Masateru Yamamoto, Takashi Urushihara, Toshiyuki Itamoto, Department of Gastroenterological, Breast and Transplant Surgery, Hiroshima Prefectural Hospital, Hiroshima 734-8530, Japan
Toshiyuki Itamoto, Department of Gastroenterological and Transplant Surgery, Applied Life Science, Institute of Biomedical and Health Science, Hiroshima University, Hiroshima 739-0046, Japan
Author contributions: Yamamoto M, Urushihara T and Itamoto T drafted the manuscript; Itamoto T has given the final approval of the version to be published; all authors read and approved the final manuscript.
Institutional review board statement: The procedure was approved by the Ethics Committee at the Prefectural Hiroshima Hospital.
Informed consent statement: All study participants were provided informed consent.
Conflict-of-interest statement: The authors declare that they have no conflict of interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Takashi Urushihara, MD, PhD, Department of Gastroenterological, Breast and Transplant Surgery, Hiroshima Prefectural Hospital, Hiroshima 734-8530, Japan. urushiha@hph.pref.hiroshima.jp
Telephone: +81-82-2541818 Fax: +81-82-2538274
Received: August 6, 2017
Peer-review started: August 7, 2017
First decision: September 6, 2017
Revised: November 6, 2017
Accepted: November 19, 2017
Article in press: November 19, 2017
Published online: December 27, 2017
Peer-review started: August 7, 2017
First decision: September 6, 2017
Revised: November 6, 2017
Accepted: November 19, 2017
Article in press: November 19, 2017
Published online: December 27, 2017
Core Tip
Core tip: Single-incision totally extraperitoneal inguinal hernia repair with intraperitoneal inspection (iSTEP) makes hernia repairs safer and more effectively. Totally extraperitoneal inguinal hernia repair had the disadvantages for difficulty with confirming the type of hernia as well as difficulty with large indirect inguinal hernia, intestinal incompetence and postoperative prostatectomy. However, iSTEP can be used to diagnose the type of hernia easily. It enables observation of the opposite side and reconfirmation of treatment after mesh repair making the technique safer and reducing postoperative complications. The technique also has excellent cosmetic outcomes.