title: SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases.
abstract: Aim. Three incisional ventral abdominal wall hernias were repaired by placing a 20 × 30 cm composite mesh via single incision of 2 cm. Methods. All three cases had previous operations and presented with giant incisional defects clinically. The defects were repaired laparoscopically via single incision with the placement of a composite mesh of 20 × 30 cm. Nonabsorbable sutures were needed to hang and fix the mesh only in the first case. Double-crown technique was used in all of the cases to secure the mesh to the anterior abdominal wall. Results. The mean operation time was 120 minutes. The patients were mobilized and led for oral intake at the first postoperative day. No morbidity occurred. Conclusion. Abdominal incisional hernias can be repaired via single incision with a mesh application in experienced centers.
authors.affiliation: Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, 34452 Istanbul, Turkey.
authors.forename: Umut
authors.initials: U
authors.lastname: Barbaros
authors.forename: Tugrul
authors.initials: T
authors.lastname: Demirel
authors.forename: Aziz
authors.initials: A
authors.lastname: Sumer
authors.forename: Ugur
authors.initials: U
authors.lastname: Deveci
authors.forename: Mustafa
authors.initials: M
authors.lastname: Tukenmez
authors.forename: Mehmet Ibrahim
authors.initials: MI
authors.lastname: Cansunar
authors.forename: Murat
authors.initials: M
authors.lastname: Kalayci
authors.forename: Ahmet
authors.initials: A
authors.lastname: Dınccag
authors.forename: Ridvan
authors.initials: R
authors.lastname: Seven
authors.forename: Selcuk
authors.initials: S
authors.lastname: Mercan