{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:30:23Z","timestamp":1777937423533,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This exploratory study aimed to compare the surgical outcomes of ultrasonic dissection and monopolar electrocautery in single-incision laparoscopic totally extraperitoneal repair (SILS-TEP) for inguinal hernia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A single-center exploratory randomized controlled trial was conducted between July 2022 and December 2023, enrolling 62 patients with unilateral inguinal hernias. Patients were randomized to undergo SILS-TEP using ultrasonic dissection (U group,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 30) or monopolar electrocautery (E group,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 32). The primary outcome was the completion rate of SILS-TEP. Secondary outcomes included the intraoperative complication rate, operative time, blood loss, and postoperative complication rate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patient characteristics were similar, except for a higher proportion of right-sided hernias in the U group (66.7% versus 31.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .010). Completion rates were comparable (96.7% versus 96.9%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 1.00). Operative time (60 [interquartile range {IQR} 53.5\u201371.5] minutes versus 62.5 [IQR: 51\u201374.5] minutes,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .72) and blood loss were also similar. Lens cleaning was more frequently required in the U group (4 [IQR: 2.5\u20135] times versus 1 [IQR: 1\u20134] time,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .025). Intraoperative and postoperative complications, length of postoperative hospital stay, and recurrence rates showed no notable differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this exploratory analysis, monopolar electrocautery in SILS-TEP showed comparable surgical outcomes to ultrasonic dissection. Larger confirmatory studies are warranted to validate these findings. (UMIN000057091).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429251408805","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T13:41:48Z","timestamp":1767966108000},"page":"124-129","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An Exploratory Randomized Controlled Trial Comparing Ultrasonic Dissection and Monopolar Electrocautery in Single-Incision Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair"],"prefix":"10.1177","volume":"36","author":[{"given":"Yujiro","family":"Nakahara","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohei","family":"Takaichi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masakatsu","family":"Paku","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomofumi","family":"Ohashi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidekazu","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadafumi","family":"Asaoka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chu","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Omori","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Nishikawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiro","family":"Takemasa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka Keisatsu Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsunekazu","family":"Mizushima","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Dokkyo Medical University, Tochigi, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/ases.13012"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12011"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-015-1273-5"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-021-02323-4"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.2147\/MDER.S113262"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/13645706.2023.2274396"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0039-6109(16)43287-1"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-007-0198-3"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-016-0412-x"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.869731"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.21037\/ales.2019.03.03"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6901"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.31083\/j.ejgo.2021.01.2311"}],"container-title":["Journal of Laparoendoscopic &amp; 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