title: [Single-incision laparoscopic surgery with self-made port for totally extraperitoneal hernioplasty: a report of 7 cases].
abstract: To explore the feasibility of single-incision laparoscopic totally extraperitoneal hernioplasty (SILS-TEP) with self-made port for repairing of inguinal hernia.
  
  
  
  SILS-TEP was performed in 7 inguinal hernia patients (9 sides) with conventional laparoscopic instruments and self-made port, which composed of a wound retractor, surgical gloves and 3 ordinary trocars. The clinical data and follow-up results of 7 cases were retrospectively collected and analyzed.
  
  
  
  The self-made port was applied for SILS-TEP uneventfully without the need of additional ports in all 7 patients (9 inguinal hernias). The median operating time was 90. 0 (70-125) min, intraoperative blood loss was 10. 0 (5. 0-20. 0) mL and postoperative hospital stay was 2.0 (2. 0-4. 0) d. The median pain scores of visual analog scale (VAS) at 6 h,12 h, 24 h and 14 d were 3(2~4), 2(1~2), 1(0~2) and 0(0~1), respectively. There were no intraoperative complications reported, and all patients were satisfied with wound healing. No hernia recurrence was observed during the 3-months of follow-up.
  
  
  
  Our initial experiences show that SILS-TEP with self-made port is a safe and feasible surgery, which can simplify the procedure with available equipments and reduce the cost, therefore can be applied in grass-root hospitals.
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Minimally invasive Surgery Institute of Zhejiang University, Hangzhou 310016, China.
authors: Qi-Long
authors: QL
authors: Chen
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Minimally invasive Surgery Institute of Zhejiang University, Hangzhou 310016, China.
authors: Jia-Fei
authors: JF
authors: Yan
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Minimally invasive Surgery Institute of Zhejiang University, Hangzhou 310016, China.
authors: Di
authors: D
authors: Wu
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Minimally invasive Surgery Institute of Zhejiang University, Hangzhou 310016, China.
authors: Xiao-Yan
authors: XY
authors: Cai
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Minimally invasive Surgery Institute of Zhejiang University, Hangzhou 310016, China.
authors: Yu
authors: Y
authors: Pan
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Minimally invasive Surgery Institute of Zhejiang University, Hangzhou 310016, China.
authors: Wei-Wei
authors: WW
authors: Jin
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Minimally invasive Surgery Institute of Zhejiang University, Hangzhou 310016, China.
authors: Yi-Ping
authors: YP
authors: Zhu
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Minimally invasive Surgery Institute of Zhejiang University, Hangzhou 310016, China.
authors: Yi-Ping
authors: YP
authors: Mou
mesh_terms: D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D012189:Retrospective Studies