Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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
Core Tip

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.