To summarize the surgical technique and treatment experience of single-incision laparoscopic totally extra-peritoneal inguinal hernia repair via inferior arcuate line approach.

The clinical data, operation and postoperative recovery of 60 patients admitted to the Department of hernia and Abdominal Wall Surgery in the Affiliated Hospital of Guangdong Medical University from July 1, 2023 to July 1, 2024 who received single-incision totally extra-peritoneal inguinal hernia repair via inferior arcuate line approach were analyzed retrospectively. The key points of operation were summarized. At the same time, the curative effect of this surgical approach was further discussed.

The operation was completed successfully in all 60 patients, and the average operation time was (57.73±15.97) minutes. Intraoperative peritoneal damage occurred in 4 cases. Intraoperative blood loss was (3.89±1.78) ml. Postoperative hospital stay was (2.62±0.87) days. VAS pain score on the first day after surgery was (1.90±0.60) points. Postoperative seroma occurred in 2 cases. Postoperative subcutaneous emphysema of scrotum occurred in 1 case. No patients had postoperative hematoma or incision infection. During the follow-up for 2 months to 1 year, there were no recurrent cases or postoperative incisional hernia cases.

Using single incision laparoscopic totally extra-peritoneal inguinal hernia repair via inferior arcuate line approach is safe and feasible, and has certain technological advantages, which is worthy of reference for clinicians.