Standardized surgical technique for single-port totally extraperitoneal inguinal hernia repair using the glove method with an intraumbilical incision.

ABSTRACT:

Background

The safety of single-port totally extraperitoneal (STEP) inguinal hernia repair compared to conventional totally extraperitoneal (CTEP) has been supported by various randomized controlled trials (RCTs). However, the optimal method remains unclear because of variations in the location and length of the incision as well as different uses of the single-port device. We standardized STEP using the glove method with a straight umbilical incision that maintained the wound profile within the confines of the umbilicus for better cosmetic satisfaction and port operative pain reduction.

Methods

The incision length was limited to 1-1.5 cm, extending no further than the umbilicus. The STEP is performed utilizing the glove method using Alexis of XXS size. To minimize forceps in

SUBMITTER: Imai Y 

PROVIDER: S-EPMC12585077 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature