Single incision laparoscopic inguinal (SILS) hernia repair has several advantages such as better cosmesis and reduced pain score and analgesics requirements.

This study presents meta-analysis of fifteen comparative studies on 1651 patients undergoing SILS versus conventional multi-incision laparoscopic (MILS) inguinal hernia repair.

The recovery time was significantly quicker in SILS compared to MILS group

However, the statistical equivalence was seen in outcomes of length of hospital stay, operative time both for unilateral and bilateral hernias, post-operative pain score, one-week pain score, recurrence, conversion [odds ratio, and post-operative complications.

Both SILS and MILS approaches of laparoscopic inguinal hernia repair are feasible, safe and can be offered to patients depending upon the availability of expertise and resources.