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Updated: May 29, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Single incision laparoscopic ventral hernia repair.

Curtis E Bower¹, Katie M Love

¹East Carolina University Vein Clinic and Department of General and Minimally Invasive Surgery, East Carolina University Brody School of Medicine, Greenville, North Carolina, USA. bowerc@ecu.edu

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|September 10, 2011

Summary

Single incision laparoscopic ventral hernia repair is a feasible and safe technique. This approach offers cosmetic benefits and is reproducible for patients needing hernia repair.

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Area of Science:

Minimally Invasive Surgery
Surgical Innovation
Abdominal Wall Reconstruction

Background:

Laparoscopic ventral hernia repair (LVH) traditionally involves multiple skin incisions for trocar placement.
A novel single-incision approach to LVH has been developed and evaluated.
This technique was offered to consenting patients eligible for standard multi-port LVH.

Purpose of the Study:

To evaluate the feasibility of a single-incision laparoscopic ventral hernia repair.
To assess the safety and reproducibility of the novel technique.
To determine patient outcomes following single-incision LVH.

Main Methods:

A consecutive series of 14 patients underwent single-incision LVH over 8 months.
Two access methods were employed through a single 1.5-cm to 2-cm incision.

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Techniques included using two 5-mm ports with a temporary 11-mm port or the SILS port, with standard or articulating instruments.

Main Results:

The procedure was successfully completed in all 14 patients without conversion to multi-port or open surgery.
No mortalities or major complications were observed.
The mean follow-up was 4 weeks, with no recurrences reported.

Conclusions:

Single-incision ventral hernia repair is technically feasible, effective, and reproducible.
The technique is safe and easy to master for eligible patients.
Patient demand for cosmetic reasons is anticipated, potentially bridging to natural orifice techniques.