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Emerging Technology: SILS Inguinal Hernia Repair

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Textbook of Hernia

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Abstract

While conversion from open to laparoscopic cholecystectomy was swift in the early 1990s because of proven safety and efficacy of laparoscopy, the uptake of laparoscopic inguinal hernia repair has been much slower, even in developed countries, varying from some 20 % in the USA to over 50 % in Australia in 2015.

Laparoscopic inguinal herniorraphy has become highly standardized with few technical improvements for over two decades. Meanwhile, the industry has devoted unparalleled efforts into improving mesh prosthetics. The production of the first commercially available single-port device (SILS™) in 2007 heralded the first true innovation in laparoscopy in modern time.

The principal author has performed over 1500 SIL hernia repairs including inguinal/femoral, ventral/incisional, Spigelian, and parastomal hernias with proven safety and efficacy. Many lessons were learned along the way, and countless tips and tricks have now been incorporated into our routine practice of SIL hernia repair, irrespective of number and size.

Currently, available randomized controlled studies and meta-analyses comparing single-port and multiport inguinal herniorraphy have not consistently demonstrated advantages, other than cosmesis, of SILS. However, there is sufficient evidence to conclude that single-port surgery is as safe as multiport surgery, and therefore it provides an acceptable alternative for those surgeons wishing to advance their laparoscopic skills.

This chapter has been written with detailed step-by-step guide to successful adoption of SILS. Solutions to potential difficulties, such as the relative loss of triangulation, are accompanied by illustrations from actual operations. We are certain that the readers will find the SILS journey highly rewarding.

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Author information

Authors and Affiliations

  1. The Sydney Hernia Specialists Clinic, Level 2, 195 Macquarie St, Sydney, NSW, 2000, Australia

    Hanh Minh Tran M.A., M.D., Ph.D., M.B.A. & Mai Dieu Tran D.M.D.

Authors
  1. Hanh Minh Tran M.A., M.D., Ph.D., M.B.A.
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  2. Mai Dieu Tran D.M.D.
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Corresponding author

Correspondence to Mai Dieu Tran D.M.D. .

Editor information

Editors and Affiliations

  1. Department of Surgery, New Hanover Regional Medical Center, Wilmington, North Carolina, USA

    William W. Hope

  2. USC School of Medicine-Greenville, Greenville Health System, Greenville, North Carolina, USA

    William S. Cobb

  3. Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Gina L. Adrales

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© 2017 Springer International Publishing Switzerland

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Tran, H.M., Tran, M.D. (2017). Emerging Technology: SILS Inguinal Hernia Repair. In: Hope, W., Cobb, W., Adrales, G. (eds) Textbook of Hernia. Springer, Cham. https://doi.org/10.1007/978-3-319-43045-4_15

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  • DOI: https://doi.org/10.1007/978-3-319-43045-4_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43043-0

  • Online ISBN: 978-3-319-43045-4

  • eBook Packages: MedicineMedicine (R0)

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