Background: Laparoscopic umbilical herniorrhaphy is preferred when abdominal wall defects exceed 3 cm. The authors describe a novel single-port laparoscopic technique for umbilical hernia repair.
Methods: A total of 10 patients underwent single-port laparoscopic umbilical hernia repair. A 10-mm endoscope with a working channel was placed in the left upper quadrant. The abdominal wall defect was covered with a circular mesh with pretied sutures and needles attached. The mesh was secured to the abdominal wall with intraabdominal sutures without the need for transfascial suture fixation.
Results: The average age of the patients was 43 years, and the average BMI was 34 kg/m(2). All procedures were completed laparoscopically. The mean operative time was 73 minutes. No major intraoperative or postoperative complications were encountered.
Conclusions: Single-port laparoscopic umbilical hernia repair is a safe and easily reproducible novel technique. It can help reduce possible complications from multiple-port sites.