Clinical practice of single-incision laparoscopic totally extraperitoneal hernia repair
ZHANG Yushun
PU Rui
LI Guiping
Abstract：Inguinal hernia,a common condition in general surgery,is typically caused by weakened abdominal wall strength and increased intra-abdominal pressure(e.g.,obesity,chronic cough,or intense physical activity).This leads to protrusion of abdominal organs(such as intestinal loops)through defects in the inguinal region,forming a palpable mass.Patients commonly present with localized bulging,and post-exertional dragging discomfort or pain,and may develop complications like ischemic necrosis due to intestinal incarceration in severe cases.In recent years,single-incision laparoscopic surgery has gained significant attention for its minimally invasive advantages.In particular,single-incision laparoscopic totally extraperitoneal hernioplasty(SIL-TEP)accesses the preperitoneal space through a single umbilical incision without entering the abdominal cavity,substantially reducing risks of intestinal adhesion and visceral injury.This technique combines the benefits of minimal trauma,rapid recovery and concealed scarring.Although technically challenging,SIL-TEP has emerged as an important development direction in inguinal hernia treatment with ongoing instrument refinements and accumulated surgical expertise.
Keywords：inguinal herniaminimally invasive surgerysingle-incision laparoscopic surgery
Publication Date：2025-06-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 9-10 )