Kagawa Y, Ota K. Enhancing laparoscopic inguinal hernia repair with three-dimensional computed tomography reconstruction. World J Gastrointest Endosc 2025; 17(6): 107391 [DOI: 10.4253/wjge.v17.i6.107391]
Corresponding Author of This Article
Yoshinori Kagawa, MD, PhD, Chief Physician, Department of Gastroenterological Surgery, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka 541-8567, Japan. yoshinori.kagawa@oici.jp
Research Domain of This Article
Surgery
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jun 16, 2025; 17(6): 107391 Published online Jun 16, 2025. doi: 10.4253/wjge.v17.i6.107391
Enhancing laparoscopic inguinal hernia repair with three-dimensional computed tomography reconstruction
Yoshinori Kagawa, Katsuya Ota
Yoshinori Kagawa, Department of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka 541-8567, Japan
Yoshinori Kagawa, Department of Gastroenterological Surgery, Osaka General Medical Center, Osaka 300-1217, Japan
Katsuya Ota, Department of Surgery, OTA Clinic, Ushiku 300-1217, Ibaraki, Japan
Co-first authors: Yoshinori Kagawa and Katsuya Ota.
Author contributions: Kagawa Y wrote the manuscript; Ota K reviewed and edited the manuscript; Kagawa Y and Ota K contributed equally to this article, they are the co-first authors of this manuscript; and all authors thoroughly reviewed and endorsed the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yoshinori Kagawa, MD, PhD, Chief Physician, Department of Gastroenterological Surgery, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka 541-8567, Japan. yoshinori.kagawa@oici.jp
Received: March 24, 2025 Revised: April 22, 2025 Accepted: May 18, 2025 Published online: June 16, 2025 Processing time: 81 Days and 3.6 Hours
Abstract
Zhang et al highlighted the importance of three-dimensional computed tomography reconstruction and myopectineal orifice measurement in laparoscopic inguinal hernia repair. Their findings indicated that preoperative three-dimensional computed tomography provides precise anatomical mapping, allowing surgeons to optimize mesh selection and reduce recurrence rates. Recent studies have corroborated these results, demonstrating that a personalized mesh size based on myopectineal orifice dimensions leads to superior patient outcomes. This article discusses the clinical significance of these advancements in hernia surgery, and emphasises their impact on improving precision, reducing complications, and optimizing surgical planning.
Core Tip: Three-dimensional computed tomography reconstruction offers significant advantages in laparoscopic inguinal hernia repair by enabling accurate preoperative measurement of the myopectineal orifice. This allows surgeons to select mesh sizes tailored to each patient’s unique anatomy, thereby reducing the risk of recurrence, minimizing complications such as chronic pain, and improving surgical outcomes. Recent studies support the routine use of preoperative three-dimensional imaging and highlight its role in advancing personalized hernia surgery, marking a shift away from the traditional one-size-fits-all approach.
