Single-incision laparoscopic transabdominal preperitoneal repair in the treatment of adult female patients with inguinal hernia

doi:10.4240/wjgs.v16.i1.49

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World Journal of Gastrointestinal Surgery

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World J Gastrointest Surg. Jan 27, 2024; 16(1): 49-58
Published online Jan 27, 2024. doi: 10.4240/wjgs.v16.i1.49

Single-incision laparoscopic transabdominal preperitoneal repair in the treatment of adult female patients with inguinal hernia

Xiao-Jun Zhu, Jing-Yi Jiao, Hui-Min Xue, Peng Chen, Chang-Fu Qin, Peng Wang

Xiao-Jun Zhu, Jing-Yi Jiao, Hui-Min Xue, Peng Chen, Peng Wang, Department of General Surgery, The Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China

Jing-Yi Jiao, Peng Chen, Medical School, Nantong University, Nantong 226001, Jiangsu Province, China

Chang-Fu Qin, Department of Hernia and Abdominal Wall Surgery, Peking University People's Hospital, Beijing 100044, China

Co-first authors: Xiao-Jun Zhu and Jing-Yi Jiao.

Co-corresponding authors: Chang-Fu Qin and Peng Wang.

Author contributions: Zhu XJ, Jiao JY, Xue HM, Qin CF and Wang P conceived, designed and refined the study protocol; Zhu XJ, Jiao JY and Chen P were involved in the data collection; Zhu XJ, Jiao JY, Qin CF and Wang P analyzed the data; Zhu XJ and Jiao JY drafted the manuscript; All authors were involved in the critical review of the results and have contributed to, read, and approved the final manuscript. Zhu XJ and Jiao JY contributed equally to this work as co-first authors. Qin CF and Wang P contributed equally to this work as co-corresponding authors. The reasons for designating Zhu XJ and Jiao JY as co-first authors / Qin CF and Wang P as co-corresponding authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-first and co-corresponding authorship accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper's quality and reliability. Second, the overall research team encompassed authors with a variety of expertise and skills from different fields, and the designation of co-first and co-corresponding authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, the choice of these researchers as co-first and co-corresponding authors acknowledges and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study. In summary, we believe that designating Zhu XJ and Jiao JY as co-first authors/Qin CF and Wang P as co-corresponding authors of is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.

Supported by Wu Jieping Medical Foundation, No. 320.6750.18396; Nantong “14th Five-Year” Science and Education to Strengthen Health Project, General Surgery Medical Key Discipline, No. 42; and Nantong Municipal Commission of Health and Family Planning, No. MS2022005.

Institutional review board statement: The study was reviewed and approved by the Affiliated Hospital of Nantong University Institutional Review Board (Approval No. 2023-K117-01).

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: The authors declare that they have no conflicts of interest.

Data sharing statement: The datasets generated during and/or analysed during the current study are available from the corresponding author upon reasonable request.

Corresponding author: Peng Wang, MD, PhD, Chief Physician, Professor, Department of General Surgery, The Affiliated Hospital of Nantong University, No.20 Xisi Road, Nantong 226001, Jiangsu Province, China. dankongwang@ntu.edu.cn

Received: August 23, 2023
Peer-review started: August 23, 2023
First decision: November 21, 2023
Revised: December 9, 2023
Accepted: January 4, 2024
Article in press: January 4, 2024
Published online: January 27, 2024
Processing time: 154 Days and 17.3 Hours

ARTICLE HIGHLIGHTS

Research background

Single-incision laparoscopic transabdominal preperitoneal (SIL-TAPP) inguinal hernia repair is becoming increasingly popular for the treatment of inguinal hernia in women due to its cosmetic benefits. However, there is no comparative study of SIL-TAPP vs conventional laparoscopic transabdominal preperitoneal (CL-TAPP) inguinal hernia repair to illustrate the safety and applicability of SIL-TAPP repair in the treatment of inguinal hernia in female patients. Therefore, a comparative study of SIL-TAPP and CL-TAPP repair in the treatment of inguinal hernia in women is urgently needed and important.

Research motivation

The aim was to compare intraoperative conditions, postoperative complication rates and cosmetic outcome scores of SIL-TAPP vs CL-TAPP repair in the treatment of inguinal hernia in women.

Research objectives

The safety and applicability of SIL-TAPP repair in the treatment of inguinal hernia in women was analysed by comparing the intraoperative and postoperative data of SIL-TAPP repair and CL-TAPP repair in the treatment of inguinal hernia in women.

Research methods

We ultimately obtained clinical data for a total of 123 patients (71 who underwent SIL-TAPP repair and 52 who underwent CL-TAPP repair) who participated in this study between February 2018 and December 2020. The safety and applicability of SIL-TAPP repair in the treatment of female inguinal hernia patients was analysed by comparing the hernia characteristics, intraoperative conditions, postoperative complication rates and postoperative cosmetic scores between the two groups.

Research results

SIL-TAPP repair did not increase the incidence of intraoperative and postoperative complications in female inguinal hernia patients. Moreover, female inguinal hernia patients who underwent SIL-TAPP repair had a lower probability of trocar site hernia and inferior epigastric vessel injury than female inguinal hernia patients who underwent CL-TAPP repair. In addition, female inguinal hernia patients who underwent SIL-TAPP repair reported a more aesthetically pleasing postoperative abdominal incision.

Research conclusions

SIL-TAPP repair is safe and feasible for the treatment of female inguinal hernia patients and will be a preferred option for female inguinal hernia patients.

Research perspectives

In the future, multicentre studies with larger samples are needed to analyse the safety and applicability of SIL-TAPP repair.