Single Incision Laparoscopic Hernia Surgery

The single incision laparoscopic surgery is known by several names and acronyms. They are:
SPL - single port laparoscopy
SPA - single port access
SPICES - single port incisionless conventional equipment utilizing surgery
SAES - single access endoscopic surgery
LESS - laparo-endoscopic single site surgery
NOTUS - natural orifice transumbilical surgery
OPUS - one port umbilical surgery

Sincle incission hernia repair

The surgery derives its name from the need for making just one small incision that is used as an entry point rather than using several small incisions that act as ports. All the surgical instruments gain access through this single, small incision. The incision site is often located in the umbilicus or the left abdomen.
single incission appendectomy banner Against traditional laparoscopic surgery, SILS has many advantages:
1. Fewer incisions mean fewer scars
2. Less pain
3. Shorter recovery times
4. Regarded as a non-invasive technique
5. Latest laparoscopic technique
6. Excellent cosmetic results
7. Limited blood loss
8. Shorter hospital stay
9. Less medical assistance
10. Lesser possibility of an infection

Morbidities and complications mostly associated with the size and extent of incisions. With the advent of the single-incision technology, there is a magnificent decrease in incision-related complexities. The aim of SILS is to reduce the number of incisions to one with an ability to insert multiple trocars.

Hernia repair with SILS

A very important complication with hernias is strangulation. When part of the intestine is trapped in the hernia the bowel is compromised. The patient experiences symptoms of sharp and abrupt pain, vomiting and nausea. This is an emergency situation and requires immediate attention. Surgery is the only option available for hernia. Where open surgery is the traditional method, laparoscopic repair requires several small incisions. SILS or Single Incision Laparoscopic Surgery requires a single small incision at the navel. Specialized surgical instruments are inserted through this port of access. All types of hernia are repaired with SILS:

single incission hernia red banner
  • Inguinal hernia most common hernia repair
  • Incisional hernia
  • Femoral hernia
  • Abdominal or umbilical hernia
  • Hiatal hernia


Totally extraperitoneal single incision laparoscopic inguinal hernia repair has demonstrated less postoperative pain and speedy recovery times compared to other alternatives. A 27 mm infraumbilical incision is made. The anterior fascia is incised and SAP insertion to accommodate three trocars is done after using a balloon dissector. Standard laparoscopic instruments are used for dissecting the right groin, reducing the direct and femoral hernia and inserting a hernia mesh.