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Related Experiment Video

Updated: Jan 13, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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One-Stage Totally Extraperitoneal Mesh Repair for Incarcerated Groin Hernias With Separated Operative Fields.

Mamoru Miyasaka1, Yo Kawarada1, Yuki Okawa1

  • 1Department of Surgery, Tonan Hospital, Sapporo, Japan.

Asian Journal of Endoscopic Surgery
|January 11, 2026
PubMed
Summary
This summary is machine-generated.

Emergency incarcerated groin hernias requiring bowel resection can be safely managed with a one-stage laparoscopic approach. This technique minimizes contamination risk, allowing mesh repair even in complex cases.

Keywords:
incarcerated groin hernialaparoscopymesh repairseparated operative fieldstotally extraperitoneal repair

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Area of Science:

  • General Surgery
  • Minimally Invasive Surgery
  • Hernia Repair

Background:

  • Incarcerated groin hernias present surgical emergencies with debated optimal management, especially concerning mesh use during bowel resection.
  • The use of mesh in emergency hernia repair with bowel resection is controversial due to contamination concerns.

Purpose of the Study:

  • To evaluate a standardized laparoscopy-assisted totally extraperitoneal (TEP) technique for emergency incarcerated groin and obturator hernias requiring bowel resection.
  • To assess the safety and feasibility of one-stage mesh repair in complex hernia cases using a combined approach.

Main Methods:

  • Retrospective review of 13 patients undergoing emergency hernia repair using a laparoscopy-assisted TEP technique with separated operative fields.
  • Diagnostic laparoscopy for assessment and reduction, followed by single-incision plus one-port TEP mesh repair.
  • Re-laparoscopy for bowel assessment with resection via an extended umbilical incision, maintaining field separation.

Main Results:

  • All 13 patients were successfully treated with the described technique, enabling one-stage mesh repair.
  • The approach allowed for mesh repair even in cases necessitating bowel resection, with minimized contamination.

Conclusions:

  • A combined intraperitoneal and extraperitoneal approach using spatial separation safely facilitates one-stage mesh repair in emergency hernias requiring bowel resection.
  • This TEP technique may broaden the application of laparoscopic surgery in managing emergency groin and obturator hernias.