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Endoscopic Mini- or Less-Open Sublay Repair in a Patient with a Reduced Pulmonary Function: A Case Report
Sakyo Ohashi1, Tomohiro Takeda1,2, Masahide Otani2
1Department of Surgery, Furano Kyokai Hospital, Furano, Hokkaido, Japan.
Surgical Case Reports
|April 29, 2026
Summary
Endoscopic mini- or less-open sublay (EMILOS) offers a minimally invasive umbilical hernia repair for elderly patients with poor lung function. This technique, combined with a supraglottic airway device (SGA), demonstrated a safe and effective outcome in a recent case study.
Area of Science:
- Minimally Invasive Surgery
- Hernia Repair
- Anesthesiology
Background:
- Endoscopic mini- or less-open sublay (EMILOS) is a minimally invasive extraperitoneal repair for umbilical hernias.
- This technique allows wide mesh placement, potentially reducing surgical site infections and postoperative pain.
- Elderly patients with impaired pulmonary function present unique challenges for surgical repair.

