Application of single mesh repair for bilateral inguinal hernia in Posterior sheath posterior approach single-incision laparoscopic totally extraperitoneal repair.

This study aimed to assess the clinical effect of single mesh repair in the posterior sheath-posterior approach single-incision laparoscopic totally extraperitoneal repair (SIL-TEP) for bilateral inguinal hernia (BIH). We collected the relevant clinical data of 33 patients with BIH who underwent SIL-TEP via posterior sheath with a single mesh from May 2020 to July 2021, and analyzed the intraoperative and postoperative data. We evaluated the operation time, 24h postoperative visual analogue scale, intraoperative and postoperative complications of this group of patients. The results showed that 33 cases with BIH were successfully repaired in posterior sheath-posterior approach SIL-TEP without vascular or intestinal damage. All patients were followed up for 21 to 36 months, and no incision or mesh infection, recurrence or chronic pain occurred. We concluded that the transumbilical SIL-TEP repair of BIH with a single mesh through the posterior sheath-posterior is a safe and feasible procedure that has a cost-effectiveness advantage and deserves to be recommended.