• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Is single-port access surgery a viable approach for ventral hernia repair? Comparison with single incision multiport surgery

Is single-port access surgery a viable approach for ventral hernia repair? Comparison with single incision multiport surgery

Martin Gascon, MD, Jesus Garijo, MD. Hospital de Torrejon, Madrid, Spain.

INTRODUCTION
Incisional hernias are the most common long-term complication following laparotomy, occurring after 3 to 13% of operations.
Surgery through a single incision is an alternative to conventional laparoscopy and Natural Orifice Transluminal Endoscopic Surgery (NOTES). Various nomenclature and terminology describe similar surgical methods, such as SPA (Single port access), SPLS (Single port laparoscopic surgery), OPUS (One port umbilical surgery) and LESS (Laparoendoscopic single site surgery). The SPA technique has been applied to several surgeries.
The objective of the study is to communicate our group experience (2 hospitals of Madrid: Infanta Sofía and Torrejón de Ardoz) related to the treatment of ventral hernias using a single incision laparoscopic surgery.

METHODS AND PROCEDURES
We present 33 ventral hernia repairs of two services located in Madrid within July of 2008 and March of 2013. Cases are divided in two groups: the first one include surgeries performed with a single-port access device (R-Port®, Advanced Surgycal Concepts, Whilock, Brey,Ireland). In the second one, the approach is performed with the reduced port laparoscopic technique (12mm-5mm-5mm).
A 3 cm skin incision, located laterally between the iliac crest and costal margin. was made in both groups. In the reduced port technique, fascia was separated using three different incisions.
A 5 mm 30 degree videolaparoscope was used in every case, combined with 5 mm laparoscopic non-articulated graspers and shears and curved intrumental.
The R-Port™ is an abdominal access device which requires an incision of minimum 15 mm. A single external disk which has three special gel valves – two 5-mm valves and a 12-mm valve – capable of maintaining pneumoperitoneum during instrument exchanges, connects to a double-layered plastic cylinder that serves as the common channel or a single port. The internal anchoring ring, when deployed, stays flush against the abdominal wall.
We compare mean operative times, closure techniques, complications, mean postoperative hospital stay, hernia recurrence and trocar site herniation.

RESULTS
There was no significant differences between both groups in either number and type of complications or operative timings (mean follow-up 18 months).
Mean hospital stay was under 24 hours in both groups. Average score of VAS was 2.

CONCLUSIONS
There are no significant differences when comparing single and multi-port single incision techniques of ventral hernia repairs.
We consider SPA surgery of ventral hernias safe and feasible. Cosmetic results are better than in conventional multi-port laparoscopic technique. Wether this approach turns to be superior to conventional laparoscopy remains subject to more substantiaL research.
 

View Poster

153

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals