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Efficacy of Single-incision Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair for Overweight or Obese Patients

Wakasugi, Masaki, MD; Nakahara, Yujiro, MD, PhD; Hirota, Masaki, MD; Matsumoto, Takashi, MD, PhD; Kusu, Takashi, MD, PhD; Takemoto, Hiroyoshi, MD, PhD; Takachi, Ko, MD; Oshima, Satoshi, MD

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: June 2019 - Volume 29 - Issue 3 - p 200–202
doi: 10.1097/SLE.0000000000000628
Original Articles

Aim: To evaluate the efficacy of single-incision laparoscopic surgery for totally extraperitoneal repair in overweight or obese patients.

Materials and Methods: For outcome analyses, patients were subdivided by body mass index (BMI) as normal-weight (18.5≤BMI<25 kg/m2), overweight (25≤BMI<30 kg/m2) or obese (≥30 kg/m2) and compared.

Results: In total, 201 patients were divided into a normal-weight group (n=152) and an overweight/obese group (n=49). Median operative time for unilateral hernia was 72 minutes in the normal-weight group and 95 minutes in the overweight/obese group (P<0.05). No significant differences in operative time for bilateral hernia, bleeding volume, peritoneal injury, conversion to a different procedure, postoperative hospital stay, follow-up duration, complications, or recurrence were identified.

Conclusions: Single-incision laparoscopic surgery for totally extraperitoneal repair, which offers good cosmetic outcomes, seems feasible and safe for overweight or obese patients, although the operation takes longer.

Department of Surgery, Kinki Central Hospital, Kurumaduka, Itami, Hyogo, Japan

This study was approved by the ethics committee of our institution (no. 346).

The authors declare no conflicts of interest.

Reprints: Masaki Wakasugi, MD, Department of Surgery, Kinki Central Hospital, 3-1 Kurumaduka, Itami, Hyogo 664-8533, Japan (e-mail:

Received August 2, 2018

Accepted November 13, 2018

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