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Robotic Inguinal Hernia Repair for Incarcerated Hernias
Naseem Bou-Ayash1, Fahri Gokcal1, Omar Yusef Kudsi1
1Good Samaritan Medical Center, Tufts University School of Medicine, Brockton, MA, USA.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|November 12, 2020
Summary
Robotic emergent inguinal hernia repair (rEIHR) is a feasible surgical option. This study found rEIHR has a short length of stay and low complication rates in selected patients.
Area of Science:
- Minimally Invasive Surgery
- Surgical Outcomes
- Hernia Repair
Background:
- Emergent inguinal hernias require timely surgical intervention.
- Robotic surgery offers potential advantages in complex procedures.
- Clinical outcomes of robotic emergent inguinal hernia repair (rEIHR) are not well-established.
Purpose of the Study:
- To investigate the clinical outcomes of robotic emergent inguinal hernia repair (rEIHR).
- To assess complication rates and length of stay associated with rEIHR.
Main Methods:
- Retrospective analysis of patients undergoing rEIHR between 2013 and 2020.
- Exclusion of patients with concomitant non-abdominal wall procedures.
- Assessment of complications using Clavien-Dindo (CD) and Comprehensive Complication Index (CCI®) scoring systems.
Main Results:
- Nineteen patients underwent 23 rEIHRs, with a median APACHE-II score of 6.
- Average skin-to-skin time was 75.9 minutes, and average length of stay (LOS) was 1.4 days.
- Three complications (CD-grades I, II, IVa) occurred in two patients over a mean follow-up of 31.7 months; median CCI score was 0.
Conclusions:
- Robotic emergent inguinal hernia repair (rEIHR) is a feasible option for surgeons.
- rEIHR demonstrates a short LOS and low complication rate.
- Appropriate patient selection, surgeon experience, and support are crucial for successful rEIHR.
