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Robotic Inguinal Hernia Repair.

David S Edelman

    Surgical Technology International
    |May 21, 2020
    PubMed
    Summary
    This summary is machine-generated.

    Robotic inguinal hernia repair offers a safe and effective minimally invasive surgical option. This technique provides enhanced visualization and dexterity, leading to a low complication rate and improved patient outcomes.

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    Area of Science:

    • Minimally Invasive Surgery
    • Surgical Robotics
    • Hernia Repair

    Background:

    • Laparoscopic inguinal hernia repair offers advantages over open repair, including reduced pain and faster recovery.
    • Robotic surgery enhances laparoscopic procedures with high-definition visualization and articulating instruments.
    • This technology can refine laparoscopic hernia repair, improving visualization of the myopectineal orifice to reduce recurrences and complications.

    Purpose of the Study:

    • To evaluate the role of robotic laparoscopic inguinal hernia repair in minimally invasive surgery.
    • To assess the safety and efficacy of robotic inguinal hernia repair.
    • To analyze outcomes from a series of robotic inguinal hernia repairs performed by a single surgeon.

    Main Methods:

    • A retrospective review of 420 robotic trans-abdominal pre-peritoneal (TAPP) inguinal hernia repairs performed between April 2012 and March 2020.

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  • Data collected included patient demographics, American Society of Anesthesia (ASA) class, and operative time.
  • Prospective follow-up was conducted at two, eight, and 16 weeks post-surgery.

    • Main Results:

    • The study included 420 robotic TAPP procedures, with 94% of patients being male and an average age of 57.8 years.
    • Average operative time was 54.36 minutes, decreasing with surgeon experience.
    • The most common postoperative issue was urinary retention; recurrence rate was low (four indirect recurrences after direct hernia repair).

    Conclusions:

    • Robotic inguinal hernia repair is a safe and effective procedure.
    • Adequate training, a consistent surgical team, and a learning curve of approximately 50 patients are crucial for success.
    • The robotic approach provides excellent visualization and a low complication rate, with urinary retention being the primary postoperative concern.