{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:24Z","timestamp":1787071344650,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Mesh-based repair is the standard treatment of inguinal hernias. Transabdominal preperitoneal repair and totally extraperitoneal (TEP) repair are the established laparoendoscopic techniques. Although TEP avoids intra-abdominal access, technical difficulty limits its adoption. Single-incision laparoscopic surgery (SILS) offers cosmetic and potential clinical advantages. However, evidence comparing SILS-TEP with conventional three-port TEP remains limited. This study aimed to evaluate the feasibility, safety and clinical outcomes of SILS-TEP compared with those of three-port TEP for inguinal hernia repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed adult patients who underwent TEP hernia repair at our institute between April 2022 and June 2025. Patients were divided into SILS-TEP and three-port TEP groups. Demographics, hernia classification, operative details, pain, complications and recovery outcomes were analysed. Acute pain was assessed by post-operative analgesic use and chronic pain was defined as pain persisting for more than 3 months. Statistical significance was set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 102 patients (62 SILS-TEP, 40 3-port TEP) were evaluated. Patient characteristics and hernia types were similar between the groups. The operative time was significantly shorter in the SILS-TEP group than in the three-port TEP group (57.4 min vs. 70.3 min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.007). No differences were observed in analgesic use, complications or hospitalisation. No conversions, chronic pain or hernia recurrence were reported in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SILS-TEP was safely performed without compromising surgical quality. It demonstrated a shorter operative time and equivalent clinical outcomes compared to three-port TEP. SILS-TEP may be a feasible and cosmetically superior alternative for inguinal hernia repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_486_25","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T07:00:07Z","timestamp":1773385207000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of single-incision totally extraperitoneal repair of inguinal hernia and conventional multi-port totally extraperitoneal repair: A retrospective study"],"prefix":"10.4103","author":[{"given":"Yuto","family":"Kitano","sequence":"first","affiliation":[{"name":"Department of Surgery, Toyama Red Cross Hospital, Toyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jungo","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Toyama Red Cross Hospital, Toyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kento","family":"Terasaki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Toyama Red Cross Hospital, Toyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Kurata","sequence":"additional","affiliation":[{"name":"Department of Surgery, Toyama Red Cross Hospital, Toyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhide","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Toyama Red Cross Hospital, Toyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"R1-20260313","first-page":"1","article-title":"International guidelines for groin hernia 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multiport laparoscopic surgery for colorectal cancer: A meta-analysis of randomized controlled trials and propensity-score matched studies","volume":"36","author":"Gu","year":"2021","journal-title":"Int J Colorectal Dis"},{"key":"R14-20260313","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1111\/ases.12226","article-title":"Laparoscopic surgery for esophageal achalasia: Multiport versus single-incision approach","volume":"9","author":"Fukuda","year":"2016","journal-title":"Asian J Endosc Surg"},{"key":"R15-20260313","doi-asserted-by":"crossref","first-page":"6721","DOI":"10.3390\/jcm11226721","article-title":"Trends in minimally invasive approaches for liver resections-a systematic review","volume":"11","author":"Graur","year":"2022","journal-title":"J Clin Med"},{"key":"R16-20260313","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1007\/s11695-014-1291-1","article-title":"Laparoscopic bariatric surgery can be performed through a single incision: A comparative 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