title: Single-incision laparoscopic trans-abdominal pre-peritoneal mesh hernia repair: a feasible approach.
abstract: BACKGROUND
  Single-incision laparoscopic surgery (SILS) is aimed at improving the cosmetic outcome following surgery. If the incision is made through the umbilicus, the surgery is almost 'scarless.' This is increasingly being used for laparoscopic cholecystectomy with good cosmetic results without compromising the safety of the operation. The challenge of this surgery lies in manipulating instruments within the limitations of the closely inserted ports.
  
  
  METHODS
  We describe the first case of SILS hernia repair via the trans-abdominal pre-peritoneal approach (TAPP) in a 39-year-old male as a day-case procedure.
  
  
  RESULTS
  The patient was discharged without any complications.
  
  
  CONCLUSIONS
  This novel surgical technique is feasible and improves cosmetic outcome without additional risk. The advantage of such an approach above and beyond cosmesis remains to be evaluated.
authors.affiliation: Pancreaticobiliary and Minimally Invasive GI Surgery, Centre for HPB Surgery and Liver Transplantation, Royal Free Hospital, Pond Street, London, UK. Zak.Rahman@royalfree.nhs.uk
authors.forename: S H
authors.initials: SH
authors.lastname: Rahman
authors.forename: B J
authors.initials: BJ
authors.lastname: John
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D005240:Feasibility Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013526:Surgical Mesh
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