In abdominal hernia repair field, the concept of "Ashes to ashes, dust to dust" has been widely supported in recent years. Endoscopic sublay repair (ESR) surgery which combined the advantages of endoscopic and Sublay repair has been gradually carried out all over the world. In the meantime, Single incisional laparoscopic (SIL) was brought to the forefront because of its reducing abdominal wall trauma by less puncture, relieving pain and promoting postoperative recovery, hiding scars to meet patients' psychological needs, as well as improving surgeons' skills. It is a beneficial attempt to combine both technique (SIL-TES). This paper summarizes our experience of SIL-TES.

Report our 5 cases of SIL-TES for ventral hernia from May 2019 to July 2019 in Shanghai General Hospital. Evaluate the operation time and observe the postoperative drainage volume and complications.

All surgeries were successfully done, operation time was 120 to 300 minutes [mean of (184±73.92) min, and there was no recent postoperative complications. The postoperative pain scores was (1.0±0.6) and (1.20±1.17), respectively, on the 1^st day and the 14^th day after the operation.

SIL-TES for ventral hernia with reduced port and single port access is not only a safe and reliable procedure for surgeon, but also affords another minimally invasive option for ventral hernia patients.