REVIEW article
Front. Surg.
Sec. Reconstructive and Plastic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1626784
This article is part of the Research TopicRecent Advancements and New Developments in Reconstructive SurgeryView all 4 articles
Enhanced Recovery After Surgery (ERAS)-Guided Strategies in Single-Incision Laparoscopic Totally Extraperitoneal Hernioplasty (SIL-TEP) for Inguinal Hernia: A narrative review
Provisionally accepted
- Ningbo Beilun Third People's Hospital, Ningbo, China
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Objective: To investigate the clinical efficacy and implementation challenges of single-port laparoscopic total extraperitoneal hernia repair (SIL-TEP) combined with enhanced recovery after surgery (ERAS) in the treatment of inguinal hernia. Methods: This review summarized the technical advantages of SIL-TEP in reducing postoperative pain, accelerating functional recovery and improving cosmetic results compared with traditional three-port TEP. The perioperative strategies under eras concept were further discussed, including preoperative nutrition optimization, laryngeal mask airway (LMA) use, early oral feeding, multimodal analgesia and timely removal of urinary catheter. Results: SIL-TEP combined with ERAS had significant clinical benefits, including decreased pain score at 24 hours after operation, shortened recovery time of daily activities, and improved patient satisfaction with incision appearance. ERAS interventions have resulted in reduced length of hospital stay; however, there are still technical limitations, including difficulties in device triangulation and learning curve requirements for the number of medical records. Conclusions: The collaborative application of SIL-TEP and ERAS represents a paradigm shift in minimally invasive hernia management, achieving enhanced recovery metrics and costeffectiveness. Although the current evidence supports superiority in the short term, more multicenter randomized trials (RCTS) with 5-year follow-up are needed to verify long-term recurrence rates and socioeconomic impact. Standardized training programs and AIassisted surgical systems may address existing technical barriers to widespread adoption.
Keywords: SIL-TEP, Single-incision laparoscopic, inguinal hernia, Eras, Postoperative Care, Treatment, improved recovery rate
Received: 11 May 2025; Accepted: 07 Jul 2025.
Copyright: © 2025 Jin, Zhang, Chen, Zhang, Lin and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Zhuoyin Wang, Ningbo Beilun Third People's Hospital, Ningbo, China
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