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A systematic review of hernia surgery in SIL (single-incision laparoscopy) technique

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Summary

Background

Hernia repair in single-incision laparoscopic surgery (SIL) technique has become increasingly common at specialized centers. Still, safety issues and potential benefits of SIL hernia repair have to be elucidated. This review summarizes available literature and provides an overview of current developments.

Materials and methods

A literature search was performed in PubMed, the Cochrane Database, and Google for peer-reviewed publications on SIL hernia repair. Main outcome parameters were defined, and it was attempted to define clinical recommendations.

Results

SIL technique can be applied for inguinal, ventral, and hiatal hernia repair. Operation times and early results seem to be comparable with standard multiport laparoscopy.

Conclusion

Distinct advantages of SIL hernia surgery have yet to be demonstrated, as the level of evidence in this field is low. Randomized controlled trials investigating the incidence of incisional hernias at the trocar site and safety in large cohorts are missing.

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Acknowledgments

The authors thank Ms. Bettina Standhartinger for technical assistance. A. H. Petter-Puchner, W. Brunner, S. Gruber-Blum, K. S. Glaser, and R. H. Fortelny report no commercial interest in publishing this review.

Conflict of interest

The authors declare that there are no actual or potential conflicts of interest in relation to this article.

Author information

Authors and Affiliations

  1. Ludwig Boltzmann Institute for Experimental and Clincal Traumatology, Donaueschingenstrasse 13, 1200, Vienna, Austria

    A. H. Petter-Puchner, S. Gruber-Blum & R. H. Fortelny

  2. Department of Visceral, Oncological and General Surgery, Wilhelminenspital, Vienna, Austria

    A. H. Petter-Puchner, S. Gruber-Blum, K. S. Glaser & R. H. Fortelny

  3. Center for Minimal Invasive Surgery, Hospital Rorschach, Sankt Gallen, Switzerland

    W. Brunner

  4. Paracelsus Medizinische Privatuniversität, Strubergasse 21, 5020, Salzburg, Austria

    R. H. Fortelny

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  1. A. H. Petter-Puchner
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  3. S. Gruber-Blum
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  4. K. S. Glaser
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Correspondence to A. H. Petter-Puchner.

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Petter-Puchner, A., Brunner, W., Gruber-Blum, S. et al. A systematic review of hernia surgery in SIL (single-incision laparoscopy) technique. Eur Surg 46, 113–117 (2014). https://doi.org/10.1007/s10353-014-0258-8

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  • DOI: https://doi.org/10.1007/s10353-014-0258-8

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