Single-Access Laparoscopic Repair of Abdominal Wall Hernias

  • Paul M. Wilkerson
  • Yuen SoonEmail author


The role of laparoscopic surgery in the repair of abdominal wall hernias is well established. There is now an increase in the uptake of SALS approaches to these techniques in an effort to improve the cosmetic outcome, reduce post-operative pain and minimise the surgical site complications. Limited data are available at this time to make a sound conclusion as to whether these goals are realised. In this chapter we will discuss some general concepts on SALS techniques, and how they apply to repair of various abdominal wall hernias. Furthermore, we will provide the reader with an overview of the various pieces of equipment available for SALS approaches and how they may influence the procedure performed.


Hernia Repair Incisional Hernia Inguinal Hernia Repair Ventral Hernia Ventral Hernia Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Basile F, Biondi A, Donati M (2013) Surgical approach to abdominal wall defects: history and new trends. Int J Surg 11(Suppl 1):S20–S23PubMedCrossRefGoogle Scholar
  2. 2.
    McCormack K et al (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev (1):CD001785Google Scholar
  3. 3.
    Davis CJ, Arregui ME (2003) Laparoscopic repair for groin hernias. Surg Clin North Am 83(5):1141–1161PubMedGoogle Scholar
  4. 4.
    Simons MP et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403PubMedCentralPubMedGoogle Scholar
  5. 5.
    Kapischke M et al (2008) Open versus laparoscopic incisional hernia repair: something different from a meta-analysis. Surg Endosc 22(10):2251–2260PubMedGoogle Scholar
  6. 6.
    Sauerland S et al (2011) Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev (3):CD007781Google Scholar
  7. 7.
    Forbes SS et al (2009) Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg 96(8):851–858PubMedGoogle Scholar
  8. 8.
    Sajid MS et al (2009) Laparoscopic versus open repair of incisional/ventral hernia: a meta-analysis. Am J Surg 197(1):64–72PubMedGoogle Scholar
  9. 9.
    Soon Y et al (2012) Single-port hernia repair: a prospective cohort of 102 patients. Hernia 16(4):393–396PubMedGoogle Scholar
  10. 10.
    Cavallaro G et al (2013) Lightweight polypropylene mesh fixation in laparoscopic incisional hernia repair. Minim Invasive Ther Allied Technol 22(5):283–287PubMedGoogle Scholar
  11. 11.
    Tsivian A, Tsivian M, Sidi AA (2011) Laparoendoscopic single-site repair of incisional hernias after urological surgery. Urology 78(3):715–718PubMedGoogle Scholar
  12. 12.
    Bucher P, Pugin F, Morel P (2011) Single-port access prosthetic repair for primary and incisional ventral hernia: toward less parietal trauma. Surg Endosc 25(6):1921–1925PubMedGoogle Scholar
  13. 13.
    Gronvold LB et al (2012) Single-incision laparoscopic versus conventional laparoscopic ventral hernia repair: a comparison of short-term surgical results. Surg Laparosc Endosc Percutan Tech 22(4):354–357PubMedGoogle Scholar
  14. 14.
    Bower CE, Love KM (2011) Single incision laparoscopic ventral hernia repair. JSLS 15(2):165–168PubMedCentralPubMedGoogle Scholar
  15. 15.
    Yussra Y et al (2013) Single incision laparoscopic surgery (SILS) inguinal hernia repair – recent clinical experiences of this novel technique. Clin Ter 164(5):425–428PubMedGoogle Scholar
  16. 16.
    Buckley FP 3rd et al (2014) Comparison of outcomes for single-incision laparoscopic inguinal herniorrhaphy and traditional three-port laparoscopic herniorrhaphy at a single institution. Surg Endosc 28(1):30–35PubMedGoogle Scholar
  17. 17.
    Alptekin H et al (2012) Incisional hernia rate may increase after single-port cholecystectomy. J Laparoendosc Adv Surg Tech A 22(8):731–737PubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  1. 1.Regional Oesophagogastric and Laparoscopic Surgery UnitRoyal Surrey County Hospital NHS Foundation TrustGuildfordUK
  2. 2.Department of General SurgeryNg Teng Fong General Hospital, Jurong HealthcareSingaporeSingapore

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