title: The Superior Inguinal Ligament Approach of Single Incision Laparoscopic Surgery for Total Extraperitoneal Inguinal Hernia Repair.
abstract: BACKGROUND
  Total extraperitoneal (TEP) inguinal hernia repair gained popularity in the past two decades for its advantage, especially single incision laparoscopic surgery (SILS) for TEP inguinal hernia repair (SILS TEP), however, which is a technically demanding procedure.
  
  
  METHODS
  The study retrospectively analyzed 6 cases of the superior of inguinal ligament approach of S-SILS TEP repair from August 2015 to July 2016. A detailed review of medical records and the perioperative data including patient characteristics, operative details, and postoperative hospital stay was conducted.
  
  
  RESULTS
  S-SILS TEP repair for inguinal hernia was successfully completed for 6 patients, and the mean operation time was 59.2 minutes (range 55-70 minutes), and the mean blood loss was 7.5 mL (range 5-15 mL) and the postoperative recovery was uneventful about 3 days after operation with a single wound over inguinal ligament.
  
  
  CONCLUSIONS
  S-SILS TEP repair provides a new operative view, which combines the advantage of laparoscopic and open surgery, especially in surgical technique and minimal invasiveness. Our experience suggests that the S-SILS TEP repair may be a safe and feasible alternative in inguinal hernias repair.
authors.affiliation: Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital, Zhejiang University School of Medicine , Hangzhou, China .
authors.forename: Qinghuang
authors.initials: Q
authors.lastname: Ye
authors.affiliation: Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital, Zhejiang University School of Medicine , Hangzhou, China .
authors.forename: Yan
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital, Zhejiang University School of Medicine , Hangzhou, China .
authors.forename: Xiaoli
authors.initials: X
authors.lastname: Zhan
authors.affiliation: Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital, Zhejiang University School of Medicine , Hangzhou, China .
authors.forename: Jinhui
authors.initials: J
authors.lastname: Zhu
mesh_terms: D000368:Aged; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008022:Ligaments / Q000601:surgery; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies
keywords: inguinal hernia; single incision laparoscopic surgery; total extraperitoneal