We have about 15 cases experience with TAPP but it requires advance experience longer operation time. But at the end you are opening a new hetmiş site at the umblicus when compare with conventional kap TAPP.
As per the reports sils hernia shown to have more incisional henias.Time alone will answer this.The only advantage is cosmetic.Technical difficulties and cost are more.when we we can do TEP comfortably, why sils?
Sils for inguinal hernia? Too long operation time, less comfortable. Why not conventional TAPP or...much better....open repair through a small incision under local anaesthesia?.
Is SILS anything ever really required?
Are patients really complaining and getting significant morbidity from 2x 5ml ports?
The answer is obviously no.
I agree with Authors where inguinal hernia is monolateral; they do hernioplasty open by implant of mesh, in local anaesthesya by revovery in day-surgery, in bilateral hernia then, there is indication to do laparoscopy
Single-port surgery is never needed. Who cares about a couple of small incisions ? Single - port surgery is an industry-driven technique promoted by surgeons on the payroll of some companies. There cannot be any advantage save a slight cosmetic one. a higher number of incisional hernia and more postoperative pain are inevitable in my opinion. Most of the papers on single-port surgery are absolutely worthless.
We will recommend mesh free and tension free open repair in all cases to avoid dangers of a foreign body. Pl. visit www.desarda.com
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