Laparoscopic abdominal hernia repair with SILS® port – our first experiences

Laparoscopic abdominal hernia repair has recently become an accepted surgical method. Nevertheless, it faces limitations of mesh properties and hernia size as much as anatomical conditions inside the abdominal cavity. The presented clinical experiment was undertaken to assess the usefulness of a single silicon SILS® port for laparoscopic repair of abdominal hernia. A fifty-six year old patient was operated on for recurrent umbilical hernia after Mayo repair. A SILS® port was placed in the anterior axillary line at the level of the umbilicus. The port was introduced through a 2 cm skin and fascia incision. Layers of the wall were sectioned approximately 3 cm apart. The round hepatic ligament was mobilized at proximity to the umbilicus to obtain 5 cm margins. A Parietex Composite® (10 × 15 cm) implant was fixed with 2 transabdominal sutures and Double Crown stapling technique. Application of the SILS® port in laparoscopic abdominal hernia repair is a valuable alternative to IPOM access. Such a procedure is technically viable and theoretically can increase safety and the number of operated patients.