Single Hole Hernia Surgery

Single hole hernia surgery, also known as single-incision laparoscopic surgery (SILS), is a minimally invasive technique used to repair abdominal hernias. Unlike traditional laparoscopic methods that require multiple small incisions, SILS is performed through a single cut, usually at the belly button, leaving minimal scarring and offering faster recovery.

Cost of single hole hernia surgery is generally higher than standard laparoscopic methods due to advanced instruments and expertise required. However, patients benefit from improved cosmetic results, reduced post-operative pain, and shorter hospital stays. It is especially preferred by individuals seeking minimally invasive treatment with better aesthetic outcomes.

The procedure involves inserting a laparoscope and specialized surgical tools through the single incision to repair the hernia with sutures or mesh placement. Surgeons experienced in SILS ensure precision and safety while minimizing tissue trauma. This approach is suitable for selected types of hernias, such as umbilical and inguinal hernias.

Recovery after single hole hernia surgery is typically rapid. Most patients return to daily activities within a week, with reduced discomfort compared to open or multi-port surgery. Post-operative care includes avoiding heavy lifting, wearing supportive garments if needed, and attending follow-up appointments to ensure proper healing.

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General Surgery Specialist
Who is Dr. Ahmet Bekin?

Dr. Ahmet Bekin, one of the doctors performing hernia surgeries in Istanbul, is specialized in general surgery. Throughout his medical career, he has gained extensive experience in hernia, reflux, and obesity surgery, as well as advanced laparoscopic and robotic surgical applications. He serves his patients with modern approaches such as minimally invasive surgery, laser surgical treatments, single incision surgery (Single Incision Surgery), endocrine and oncological surgery. He is fluent in Turkish, English, and Arabic.

2000 – 2006 Kocaeli University Faculty of Medicine
2006 – 2011 Istanbul University Faculty of Medicine (Çapa), Department of General Surgery – Specialization

Certificates

İçerik

What Is Single-Port Inguinal Hernia Repair?

Single-port laparoscopic inguinal hernia repair is a minimally invasive procedure performed through one incision at the navel. Compared to traditional multi-port surgeries, it has the potential to provide less pain, faster recovery, and more aesthetic results. First performed in 2009 as an innovative surgical option, the FDA approved the da Vinci Single-Port Surgical System for this technique in 2014, supporting its development and experimental use in hernia operations. Despite its technical challenges, in the hands of experienced surgeons it delivers safe and effective outcomes, representing an innovative approach in hernia treatment.

When Is Single-Port Inguinal Hernia Repair Used?

Single-port laparoscopic inguinal hernia repair (SPL-IHR) is an effective minimally invasive option chosen in certain situations. Its applicability and advantages depend on patient needs and surgeon expertise. Situations in which single-port repair stands out include:

Unilateral inguinal hernias
Bilateral inguinal hernias
Patients with cosmetic concerns
Patients preferring minimally invasive methods
When experienced surgeons are available
Hospitals equipped with specialized devices

One notable advantage is that the umbilical incision becomes nearly invisible once healed. Additionally, shorter hospital stays, faster recovery, and reduced patient trauma compared to conventional multi-port surgery are important benefits.

However, single-port surgery is directly linked to the surgeon’s skill and experience, and the cost of specialized equipment must be considered. Detailed evaluation between patient and surgeon is essential to determine the optimal treatment option.

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Who Is Not a Candidate for Single-Port Inguinal Hernia Repair?

Single-port laparoscopic inguinal hernia repair may not be suitable for certain patient groups. Conditions that complicate or increase the risk of this technique include:

Inability to tolerate general anesthesia
History of major abdominal surgeries
Extensive intra-abdominal adhesions
Incarcerated or strangulated hernias
Active infections
Ascites (abdominal fluid accumulation)
Prior pelvic radiotherapy
Complex large or recurrent hernias

These conditions may reduce the success rate or increase complication risks. Therefore, each patient must be evaluated individually. For example, surgery should be postponed in active infection to protect overall health, and open repair may be safer when significant adhesions are present.

How Is Single-Port Inguinal Hernia Repair Performed?

Single Hole Hernia Surgery

Single-port inguinal hernia repair is performed through one small incision around the navel, leveraging its minimally invasive advantages. The procedure is executed precisely with specialized instruments and techniques:

Patient preparation:

Performed under general anesthesia
Patient placed supine
Surgical area sterilized

Port placement:

Small incision made around the navel
Single-port device inserted

Workspace creation:

Balloon or tissue dissection to create working space
Extraperitoneal space developed

Hernia sac management:

Sac carefully identified
Contents reduced back into the abdomen

Mesh placement and fixation:

Synthetic mesh positioned precisely
Fixed with tacks or adhesive

Single-port surgery offers cosmetic and rapid recovery benefits, but its success hinges on surgeon expertise. The requirement for specialized equipment underscores its technical complexity compared to other methods. Thorough patient selection and surgical planning are crucial.

What Are the Side Effects of Single-Port Inguinal Hernia Repair?

Although minimally invasive, single-port repair carries specific risks and potential complications. These include:

Port-site hernia risk
Postoperative and chronic pain
Hernia recurrence
Seroma and hematoma formation
Longer operative time
Patient dissatisfaction with cosmetic outcome
Intraoperative complications

When performed by experienced surgeons, single-port repair is considered safe. However, individual anatomy and health status significantly impact outcomes. Preoperative evaluation and patient education on risks are essential.

How Successful Is Single-Port Inguinal Hernia Repair?

: Port used in single-port surgery

Single-port laparoscopic inguinal hernia repair stands out for its success rates among minimally invasive methods. Scientific studies demonstrate that its efficacy and safety are comparable to conventional multi-port techniques.

Success criteria:

Low postoperative complication rate
Minimal hernia recurrence risk
Low incidence of hematoma or seroma

A 2014 study comparing single-port total extraperitoneal (TEP) repair with three-port TEP found no significant difference in complication rates and reported zero recurrences at 11-month follow-up. A 2024 systematic review and network meta-analysis of 5,038 patients confirmed that single-port repair yields outcomes similar to robotic or multi-port laparoscopic methods.

While offering smaller scars and faster recovery, single-port surgery presents technical challenges in instrument handling. For experienced surgeons, it remains a safe and effective option.

How to Prepare for Single-Port Inguinal Hernia Repair?

Preoperative preparation is crucial for a successful operation and swift recovery. Planning focuses on patient condition and proper organization of surgical equipment. Every step must prioritize patient safety and comfort.

Medical evaluation:

Patient’s medical history
Physical examination findings
Assessment of surgical risk factors

Imaging:

Ultrasound
Computed tomography

Patient preparation:

12-hour fasting
Antiseptic skin cleansing
Bowel preparation (if needed)

Consent and education:

Advantages and risks of the technique
Alternative surgical options
Possible complications

Anesthesia planning:

General anesthesia evaluation
Antibiotic prophylaxis

Operating room setup:

Patient supine position
Trendelenburg position as preferred
Umbilical port placement
Preparation of specialized surgical instruments

Team coordination:

Clear role assignments
Step-by-step procedure review

Thorough planning, team coordination, and clear patient communication ensure a smooth operation. Postoperative guidance is also provided to facilitate recovery.

How Should Postoperative Care Be Managed After Single-Port Repair?

After single-port inguinal hernia repair, patients should pay attention to several aspects to ensure successful recovery. Proper pain management, mobility, wound care, nutrition, and follow-up appointments all play key roles. Vigilance against complications is essential.

Pain management:

Use simple analgesics for mild pain.
Stronger medications as prescribed for severe pain.

Mobility:

Begin gentle walking on the day of surgery.
Avoid strenuous activities.
Refrain from driving in the early period.

Wound care:

Keep the incision dry and clean.
Monitor for redness or swelling.
Avoid prolonged water exposure.

Activity restrictions:

No heavy lifting for two weeks.
Avoid high-intensity sports.

Nutrition:

Maintain a balanced, healthy diet.
Include protein and vitamins.

Follow-up:

Postoperative checkup two weeks after surgery.
Report fever, swelling, or increased pain immediately.

Recovery times vary by individual, but close monitoring and prompt medical attention for unexpected symptoms are critical. Proper postoperative care helps patients return to daily life more quickly.

What Are the Average 2025 Single Hole Hernia Surgery Prices?

Please contact us for the average Single Hole Hernia Surgery prices.

Reviews from Those Who Have Had Single Hole Hernia Surgery

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Frequently Asked Questions

How long does single-port inguinal hernia surgery take?

Depending on surgeon experience and hernia complexity, it typically takes 15–30 minutes. Initial cases may take longer.

Which department/specialist performs single-port inguinal hernia repair?

Single-port inguinal hernia repair is a minimally invasive technique aiming to reduce scarring and recovery time. The appropriate method is decided based on patient condition. Treatment is provided by the General Surgery department. Surgeon expertise influences outcomes.