Peer-reviewed veterinary case report
Comparing two single-port laparoscopic methods for inguinal hernia
By Kim IK et al.·2026·Department of Surgery, South Korea·View original on Europe PMC →
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Original publication title: Comparative perioperative outcomes of single-port laparoscopic ArtiSential versus da Vinci SP platform for totally extraperitoneal inguinal hernia repair: a multi-institutional, propensity score-matched analysis in Korea.
Plain-English summary
This study looked at two different methods for repairing inguinal hernias (a type of hernia in the groin) using minimally invasive surgery. Researchers compared a technique using a single-port laparoscopic tool called ArtiSential with another method using the da Vinci SP robotic system. They found that the surgery took significantly less time with the ArtiSential tool, but both methods had similar safety and recovery results, with no major complications or need for additional surgeries afterward. Overall, the ArtiSential method was quicker, while both approaches were equally safe and effective.
Abstract
<h4>Purpose</h4>This study aimed to compare perioperative and postoperative outcomes of single-port laparoscopic articulated instrument-assisted versus da Vinci SP-assisted totally extraperitoneal (TEP) inguinal hernia repair using a propensity score-matched multi-institutional cohort.<h4>Methods</h4>Between April 2022 and July 2025, 221 patients underwent TEP unilateral inguinal hernia repair at four institutions. Among them, 33 patients underwent da Vinci SP-assisted repair (Intuitive Surgical) and 188 underwent single-port laparoscopy using the articulated instrument, ArtiSential (LivsMed). Propensity score matching was performed in a 1:1 ratio based on demographic and clinical variables, resulting in 30 matched patients in each group. Perioperative outcomes and postoperative complications were analyzed.<h4>Results</h4>After matching, baseline characteristics were well balanced between the groups. Operative time was significantly longer in the da Vinci SP group than in the ArtiSential group (median [interquartile range], 82.0 [67.5-105.0] vs. 35.0 [28.5-47.5] minutes; <i>p</i> < 0.001). No open conversions occurred, and conversions to transabdominal preperitoneal repair were rare and comparable. Mesh size selection differed significantly, with smaller meshes more frequently used in the da Vinci SP group (<i>p</i> < 0.001). Postoperative outcomes, including length of hospital stay, overall complication rates, chronic pain, and recurrence, were similar between the groups. No major complications, readmissions, or reoperations were observed.<h4>Conclusion</h4>Articulated instrument-assisted TEP inguinal hernia repair demonstrated a significantly shorter operative time than da Vinci SP-assisted repair, while perioperative safety and postoperative outcomes were comparable.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41847785