gms | German Medical Science

Introduction: Laparoscopic repair for incisional or primary ventral hernia has become an increasingly used approach. Incisional hernias especially after open but also laparoscopic surgery are often complicated by adhesions. Applying penumoperitoneum and insertion of trocars can be difficult and afflicted with the risk of bowel injury. Single port surgery was introduced for several laparoscopic procedures as for IPOM. The aim of this paper is to show the benefits of a single port approach.

Material and methods: In videos of several cases open approach, introduction and advantages of single port technique in IPOM procedures is shown.

Results: Single Port surgery offers an open approach with the advantage of primarily open adhesiolysis before introduction of the port system and then immediate camera and two to three instruments available. Adhesiolysis and introduction of even larger meshes can be obtained more easily. Close and hampering distance of trocars to the ribs and bone are avoided. The size of the first incision especially in patients with higher BMI is comparable. The only fascia defect can be covered by the mesh itself and closure is easier.

Conclusion: Single Port approach to incisional and primary ventral hernia repair has some advantages to conventional laparoscopy and is safe and feasible.