Abstract
to describe the use of the robotic platform in inguinal hernia recurrence after a previous laparoscopic repair. patients with recurrent inguinal hernias following a laparoscopic repair who have undergone robotic transabdominal preperitoneal between December 2015 through September 2020 were identified in a prospectively maintained database. Outcomes of interest included demographics, hernia characteristics, operative details and rates of 30-day surgical site occurrence, surgical site occurrences requiring procedural interventions, surgical site infection and hernia recurrence were abstracted. nineteen patients (95% male, mean age 55 years, mean body mass index 28) had 27 hernias repaired (N=8 bilateral). Average operative time was 168.9 ± 49.3min (range 90-240). There were two intraoperative complications all of them were bleeding from the inferior epigastric vessel injuries. Three SSOs occurred (N=2 seromas and N=1 hematoma. After a median 35.7 months follow-up (IQR 13-49), no recurrence has been diagnosed. One patient developed chronic postoperative inguinal pain. on a small number of selected patients and experienced hands, we found that the use of the robotic platform for repair of recurrent hernias after prior laparoscopic repair appears to be feasible, safe and effective despite being technically demanding. Further studies in larger cohorts are necessary to determine if this technique provides any benefits in recurrent inguinal hernia scenario.
Highlights
Laparoscopic inguinal hernia shorter recovery time, less repair is associated postoperative pain with and equivalent long-term recurrence rates, when compared to traditional open mesh-based repair[1,2]
Hernia characteristics, operative details and 30-day surgical site occurrence (SSO), surgical site occurrences requiring procedural interventions (SSOPI), surgical site infection (SSI) and hernia recurrence rates were retrieved from the database
Considering hernia classification, recurrent medial were observed in N=16 hernias, recurrent lateral hernia were observed in N=9 hernias, combined medial and lateral were observed in N=1 hernia and N=1 femoral hernia
Summary
Laparoscopic inguinal hernia shorter recovery time, less repair is associated postoperative pain with and equivalent long-term recurrence rates, when compared to traditional open mesh-based repair[1,2]. Dominguez et al.[3] described the implementation of the robotic platform to perform a transabdominal preperitoneal (r-TAPP) inguinal hernia repair. We hypothesized that the aforementioned benefits of the robotic platform might facilitate a re-do TAPP in selected cases, that is an opportunity to offer minimally invasive treatment to patients who had posterior approach failure. This can be done to patients who had already had an approach by open anterior and laparoscopic posterior approach
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
