Utility of single-incision totally extraperitoneal inguinal hernia repair with intraperitoneal inspection

Figure 1 A 2 cm skin incision was made in the umbilicus. A trocar attached to an access port was inserted into the abdominal cavity and carbon dioxide was insufflated.

Figure 2 The hernia was viewed and diagnosed within the intraperitoneal cavity. This patient had recurrent hernia at the median part of the Kugel Patch.

Figure 3 GelPOINT MINI was installed and carbon dioxide was insufflated to 8 mmHg before starting totally extraperitoneal hernia repair.

Figure 4 The intraperitoneal cavity was viewed again to confirm the repair.

Figure 5 By using intraperitoneal observation simultaneously, it was possible to observe the inguinal region without overlooking the opposite side.

Figure 6 We could obtain better cosmetic outcomes.