Journal of Surgical Innovation and Education

How I Do It

How to Perform Single-Incision Laparoscopic Totally Extraperitoneal Hernia Repair: Moon Jin Kim, Ji Hoon Kim, Ju Myung Song, Chae Dong Lim; J Surg Innov Educ. 2025;2(1):14-18. Published online June 26, 2025; DOI: https://doi.org/10.69474/jsie.2025.00059

Abstract PDF: Surgery for inguinal hernia has made significant progress over a period of more than a century. The advent of minimally invasive techniques prompted further innovations. Among these, single-incision surgery offers significant advantages in creating the preperitoneal space. Therefore, it is essential for surgeons to understand and be able to perform single-incision laparoscopic totally extraperitoneal (SIL-TEP) hernia repair. This article presents a detailed description of the surgical technique for SIL-TEP.

A Practical Guide to Robotic Transabdominal Preperitoneal Repair for Inguinal Hernia: Sungwoo Jung, Hyung Soon Lee; J Surg Innov Educ. 2025;2(1):1-4. Published online June 16, 2025; DOI: https://doi.org/10.69474/jsie.2025.00052

Abstract PDF: Robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair offers enhanced visualization, ergonomic comfort, and improved instrument control compared to conventional laparoscopy. Although laparoscopic transabdominal preperitoneal repair has known benefits, its adoption remains limited due to technical challenges and a steep learning curve. The robotic platform addresses these limitations, making it well-suited for safe, precise dissection in the preperitoneal space. This article presents a practical, step-by-step guide to R-TAPP, highlighting key anatomical landmarks, standardized dissection techniques, and tension-free mesh placement without fixation.

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