title: Single-incision laparoscopic intraperitoneal onlay mesh hernioplasty for anterior abdominal wall hernia: A safe and feasible approach.
abstract: BACKGROUND
  Single-incision laparoscopic surgery is being increasingly performed in experienced laparoscopic centres. The primary aim is at improving the cosmetic outcome of surgery without compromising the safety of the operation. The challenge of this surgery lies in limited range of movement of the instruments due to proximity of working ports and limited triangulation.
  
  
  METHODS
  We describe our first four consecutive cases of single-incision laparoscopic intraperitoneal onlay mesh hernioplasty for anterior abdominal wall hernia repair during a period of June to July 2009. Operative time, hospital stay and postoperative pain were assessed, and follow up was done for 3 months.
  
  
  RESULTS
  Three patients were discharged on first postoperative day and one on second postoperative day without any complications.
  
  
  CONCLUSIONS
  Based on our experience, we believe that the procedure is feasible without additional risk. Cosmetic benefit is clear; however, beyond that the actual outcome with respect to patient recovery, postoperative pain and long-term complications needs to be evaluated and compared to standard laparoscopic intraperitoneal onlay mesh hernioplasty.
authors.affiliation: Department of General and Minimally Invasive Surgery. Asian Institute of Medical Sciences, Faridabad, Haryana, India.
authors.forename: Prabal
authors.initials: P
authors.lastname: Roy
authors.forename: Anushtup
authors.initials: A
authors.lastname: De